Individual
ALEXA VIOLARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 GRANITE AVE STE 1, MILTON, MA 02186-5626
(617) 691-7140
Mailing address
16 MOUNT VERNON ST, CHARLESTOWN, MA 02129-3423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12655
MA
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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