Individual
ALEXANDRA TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 889-4860
Mailing address
301 BROADWAY, CHELSEA, MA 02150-2807
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/29/2016
Last updated
01/07/2021
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