Individual
DARLYN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
999 BROADWAY, SAUGUS, MA 01906-4521
(781) 558-9565
Mailing address
36 HURON ST, LYNN, MA 01902-1962
(781) 215-4476
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4131
MA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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