Individual
OLIVIA ROSE KOSTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 FRANKLIN ST, LYNN, MA 01904-3230
(781) 593-2727
Mailing address
53 GREENWOOD AVE, WAKEFIELD, MA 01880-3907
(781) 570-6674
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
MA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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