Individual
GARY F BIVONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
51 PINE ST, AMHERST, MA 01002-1171
(413) 695-3483
Mailing address
51 PINE ST, AMHERST, MA 01002-1171
(413) 695-3483
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3433
MA
Other
Enumeration date
04/07/2009
Last updated
12/28/2021
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