Individual
ALLYSON MAE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506A ALLEN ST, SPRINGFIELD, MA 01118-1817
(413) 525-0751
Mailing address
278 STONY HILL RD, WILBRAHAM, MA 01095-1572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12766
MA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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