Individual
ARISTA KATSOURAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
333 TURNPIKE RD SUITE 102, SOUTHBOROUGH, MA 01772
(508) 898-2688
Mailing address
4 FATIMA LANE, WORCESTER, MA 01606
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
461291
MA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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