Individual
JESSICA FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 BIRCHMEADOW RD, MERRIMAC, MA 01860-1701
(978) 387-4687
Mailing address
51 BIRCHMEADOW RD, MERRIMAC, MA 01860-1701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9949
MA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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