Individual
MICHELE MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
4 MILITIA DR STE 18, LEXINGTON, MA 02421-4714
(781) 861-0695
Mailing address
190 PLEASANT ST APT 321, MALDEN, MA 02148-4855
(617) 331-6920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15036
MA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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