Organization
BRAIN FIT ACADEMY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA MARIE FORMOSA OTR/L (OCCUPATIONAL THERAPIST)
(508) 478-5164
Entity
Organization
Contact information
Practice address
25 WESTCOTT RD, HOPEDALE, MA 01747-1824
(508) 478-1031
Mailing address
25 WESTCOTT RD, HOPEDALE, MA 01747-1824
(508) 478-1031
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
2461
MA
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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