Individual
ALEXANDRA M GUDLEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(401) 998-0559
Mailing address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(401) 998-0559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10830
MA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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