Individual
MISS EMILY JEAN GAMACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
59 SUMMER ST, REHOBOTH, MA 02769-2221
(508) 252-5814
Mailing address
92 NORMAN AVE, SOMERSET, MA 02726-5422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2920
MA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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