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Individual

MS. MEGAN N DE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
484 MAIN ST, EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608
(800) 244-2756
(508) 831-9768
Mailing address
134 POWDER HOUSE BLVD, SOMERVILLE, MA 02144-1624
(617) 448-8893

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9362
MA

Other

Enumeration date
06/25/2008
Last updated
06/25/2008
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