Individual
MRS. ELIZABETH ANDREA DEWIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., O.T.R./L
Contact information
Practice address
574 MAIN ST, WEYMOUTH, MA 02190-1818
(781) 331-2533
Mailing address
243 LEAVITT ST, HINGHAM, MA 02043-2923
(781) 749-1896
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
10183
MA
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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