Individual
LIA PANTALEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 NORTH AVE, WAKEFIELD, MA 01880-1322
(781) 245-4446
Mailing address
6 GLORIA LN, NORTH READING, MA 01864-2102
(978) 995-8476
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTL15050
MA
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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