Individual
MITISH MAHULKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
120 FISHER AVE, BOSTON, MA 02120-3320
(617) 738-1500
Mailing address
74 BISHOP RD, SHARON, MA 02067-2424
(781) 806-5710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4112
MA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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