Individual
ANI AVANESZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(703) 635-5880
Mailing address
271 BOSTON AVE UNIT 1, MEDFORD, MA 02155-5226
(703) 635-5880
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14004
MA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/18/2020
Last updated
12/09/2024
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