Individual
JOYCE ELIZABETH MALMGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(800) 244-2756
(508) 831-9768
Mailing address
15 CHILMARK RD, FRANKLIN, MA 02038-2467
(508) 561-7941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2596
MA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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