Individual
JULIA GERVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
68 ALLISON AVE, TAUNTON, MA 02780-6958
(508) 880-0202
Mailing address
68 ALLISON AVE, TAUNTON, MA 02780-6958
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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