Individual
EMILY PAULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
500 GRANITE AVE STE 2, MILTON, MA 02186-5626
(617) 691-7140
(617) 507-0457
Mailing address
500 GRANITE AVE STE 2, MILTON, MA 02186-5626
(617) 691-7140
(617) 507-0457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14314
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14314
MA BOARD OF ALLIED HEALTH PROFESSIONALS
MA
Enumeration date
05/19/2022
Last updated
05/19/2022
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