Individual
BRENDA MARCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
21 FAIRFIELD ST, REVERE, MA 02151-4516
(781) 289-8535
Mailing address
21 FAIRFIELD ST, REVERE, MA 02151-4516
(781) 289-8535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2653
MA
273Y00000X
Rehabilitation Hospital Unit
2653
MA
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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