Organization
DR MMP SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN A MICKA-PICKUNKA ED.D, OTR/L (OWNER)
(413) 222-1959
Entity
Organization
Contact information
Practice address
5 CROWLEY RD, WESTHAMPTON, MA 01027-9637
(413) 222-1959
Mailing address
5 CROWLEY RD, WESTHAMPTON, MA 01027-9637
(413) 222-1959
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4127
MA
Other
Enumeration date
03/13/2015
Last updated
12/02/2022
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