Individual
MATTHEW CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
110 CHERRY ST, HOLYOKE, MA 01040-7002
(413) 539-6910
(413) 539-6840
Mailing address
110 CHERRY ST, HOLYOKE, MA 01040-7002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10067
MA
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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