Individual
DIANE LOIS AKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
104 LARCH RD, CAMBRIDGE, MA 02138-3317
(617) 661-7085
Mailing address
104 LARCH RD, CAMBRIDGE, MA 02138-3317
(617) 661-7085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2
MA
225XL0004X
Low Vision Occupational Therapist
2
MA
225XM0800X
Mental Health Occupational Therapist
2
MA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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