Individual
BETHANNE MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
41 BIRCHWOOD RD, WILMINGTON, MA 01887-4017
(617) 504-7536
Mailing address
41 BIRCHWOOD RD, WILMINGTON, MA 01887-4017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
443
NH
225X00000X
Occupational Therapist
Primary
8016
MA
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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