Individual
JESSICA TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 NEW JERSEY AVE, SOMERSET, MA 02726-3728
(774) 508-0093
Mailing address
124 NEW JERSEY AVE, SOMERSET, MA 02726-3728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3456
MA
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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