Individual
MS. LISE MARIE THERESE RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 CHESTNUT ST, SPRINGFIELD, MA 01103-1100
(413) 276-0523
Mailing address
122 HORNE WAY, MILLBURY, MA 01527-1961
(508) 865-9965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6280
MA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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