Individual
EMILY VITTAL SRINIVASARAGAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 TURNPIKE RD STE 102, SOUTHBOROUGH, MA 01772-1755
(508) 898-2688
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1794
(518) 437-5700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
014748
MA
225X00000X
Occupational Therapist
Primary
P14757
NY
Other
Enumeration date
01/29/2019
Last updated
12/27/2023
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