Individual
HEATHER LYNN BRUNELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
146 MACARTHUR BLVD, BOURNE, MA 02532-3902
(508) 759-8880
Mailing address
146 MACARTHUR BLVD, BOURNE, MA 02532-3902
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3542
MA
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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