Individual
VANESSA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20 COURY DR, ACUSHNET, MA 02743-1972
(508) 287-4534
Mailing address
20 COURY DR, ACUSHNET, MA 02743-1972
(508) 287-4534
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4008
MA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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