Individual
KATINA HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(391) 781-4500
Mailing address
75 RAYMOND AVE, SOMERVILLE, MA 02144-1209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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