Individual
MS. MELISSA GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 PARK STREET, 112 EMERSON STREET, NEW BEDFORD, MA 02740
(508) 991-0220
Mailing address
119 PARK STREET, 112 EMERSON STREET, NEW BEDFORD, MA 02740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3886
MA
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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