Individual
JESSICA SOLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 HIGHVIEW AVENUE, SOMERSET, MA 02726
(774) 319-0079
Mailing address
158 HIGHVIEW AVE, SOMERSET, MA 02726-3906
(774) 319-0079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01563
RI
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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