Individual
MISS CADY MAREE TETREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
340 MAPLE ST STE 410, MARLBOROUGH, MA 01752-3200
(508) 624-0304
Mailing address
4 KEENAN RD APT 4, NORTH ATTLEBORO, MA 02760-2918
(508) 404-4678
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2319
MA
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
2319
MA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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