Individual
MRS. DIANA MARIE TAMULEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
HOSPITAL HILL ROAD, GARDNER, MA 01440
(978) 632-5477
Mailing address
88 SUMMIT AVE, ATHOL, MA 01331-3331
(978) 249-9535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2343
MA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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