Individual
SHANDI DIVIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 TALBOT AVE, TAUNTON, MA 02780-4949
(774) 223-1322
Mailing address
11 TALBOT AVE, TAUNTON, MA 02780-4949
(774) 223-1322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4458
MA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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