Individual
MRS. JACQUELINE EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
484 MAIN STREET, EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608
(508) 244-2756
(508) 831-9768
Mailing address
44 LONGFELLOW RD, SHREWSBURY, MA 01545-1413
(508) 845-1314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09415
MA
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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