Individual
SARAH ELIZABETH BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
999 BROADWAY STE 304, SAUGUS, MA 01906-4510
(781) 558-9565
Mailing address
12 GROVE ST, DANVERS, MA 01923-2412
(978) 430-0320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4079
MA
Other
Enumeration date
10/23/2017
Last updated
03/17/2018
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