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Individual

LISA IRVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS OTR/L RYT200

Contact information

Practice address
37 PIERCE ST, NORTHBOROUGH, MA 01532-1935
(508) 330-1141
Mailing address
299 CLARK ROAD EXT, FISKDALE, MA 01518-1036
(508) 330-1141

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10132
MA

Other

Enumeration date
07/29/2025
Last updated
07/29/2025
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