Individual
MS. DIANE MARIE BLENGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,OTR/L
Contact information
Practice address
9 BALLARD ST, SAUGUS, MA 01906-1701
(781) 231-9192
Mailing address
9 BALLARD ST., SAUGUS, MA 01906
(781) 231-9192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5869
MA
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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