Individual
MRS. STACEY MEDINA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
30 WARREN ST, BRIGHTON, MA 02135-3602
(617) 254-3800
Mailing address
5 AUDREA RD, FRAMINGHAM, MA 01701-4300
(508) 405-2778
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6071
MA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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