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Individual

MELISSA EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
163 LIBBEY PKWY, SUITE 302, WEYMOUTH, MA 02189-3137
(781) 335-6663
(781) 335-6686
Mailing address
163 LIBBEY PKWY, SUITE 302, WEYMOUTH, MA 02189-3137
(781) 335-6663
(781) 335-6686

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8242
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
616937
TUFTS
MA
Enumeration date
09/18/2009
Last updated
09/18/2009
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