Individual
JOCELYNN BETH WALLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 EDGEWOOD RD, WESTWOOD, MA 02090-3124
(781) 551-3464
Mailing address
91 EDGEWOOD RD, WESTWOOD, MA 02090-3124
(781) 551-3464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
424
MA
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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