Individual
SIERRA MARITZA OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 HEATHCOTE ST, ROSLINDALE, MA 02131-3611
(401) 649-8755
Mailing address
19 HEATHCOTE ST, ROSLINDALE, MA 02131-3611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4242
MA
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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