Individual
BETHANY MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 DENNISON ST, WALTHAM, MA 02453-3805
(617) 335-5643
Mailing address
17 DENNISON ST, WALTHAM, MA 02453-3805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8621
MA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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