Individual
MS. NIKITA ANN CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
233 MIDDLE ST, BRAINTREE, MA 02184-4840
(781) 843-1860
Mailing address
172 MCGOWAN ST, FALL RIVER, MA 02723-2928
(774) 644-7696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4193
MA
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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