Individual
MS. MARY KATHLEEN DEROSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
30 WARREN ST, BOSTON, MA 02135-3602
(617) 254-3800
(617) 779-1199
Mailing address
105 FARWELL ST APT B, NEWTON, MA 02460-1029
(617) 558-1964
(617) 558-1964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1025
MA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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