Individual
MARISA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
548 PARK AVE, WORCESTER, MA 01603-2537
(744) 823-1500
Mailing address
15 GROVELAND ST, EASTHAMPTON, MA 01027-1303
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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