Individual
GLORIA M POLIANITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1801 TURNPIKE ST, NORTH ANDOVER, MA 01845-6322
(978) 688-1212
(978) 794-8265
Mailing address
11 PINETREE LN, DRACUT, MA 01826-1666
(978) 685-8082
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1770
MA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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