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Individual

MRS. JULIE ANN LAZAROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(800) 244-2756
(598) 831-9768
Mailing address
4 PARKHURST DR, HUDSON, MA 01749-1812
(978) 875-1010

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301
ALLIED HEALTH PROFESSIONS LICENSED OCCUPATIONAL THERAPIST
MA
Enumeration date
11/19/2009
Last updated
11/19/2009
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