Individual
DEBORAH MARIE STAPLES-CANARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
548 PARK AVE # B, WORCESTER, MA 01603-2537
(774) 823-1500
Mailing address
548 PARK AVE # B, WORCESTER, MA 01603-2537
(774) 823-1500
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13062
MA
Other
Enumeration date
10/10/2019
Last updated
12/12/2021
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