Individual
MS. NANCY JEAN MACCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1044 PARK ST, STOUGHTON, MA 02072-3762
(781) 344-7300
Mailing address
230 WESTMINSTER AVE, WATERTOWN, MA 02472-1166
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1231
MA
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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