Individual
GWENDOLYN JOY NIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
149 SYLVAN ST, DANVERS, MA 01923-3564
(978) 774-7570
Mailing address
149 SYLVAN ST, DANVERS, MA 01923-3564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12810
MA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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