Individual
MISS ELAINE ELIZABETH MILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
74R EASTERN AVE, REVERE, MA 02151-2737
(774) 258-0070
Mailing address
74R EASTERN AVE, REVERE, MA 02151-2737
(774) 258-0070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10587
MA
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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