Individual
ALYSSA KATE BREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
543 NORTH ST, NEW BEDFORD, MA 02740-2782
(508) 742-6419
Mailing address
543 NORTH ST, NEW BEDFORD, MA 02740-2782
(508) 742-6419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15506
MA
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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