Individual
MELISSA CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 PROCTOR AVE, REVERE, MA 02151-4923
(781) 286-3100
Mailing address
24 MEADOW AVE, CUMBERLAND, RI 02864-6519
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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