Individual
JACOB AARON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
589 HIGHLAND AVE, NEEDHAM, MA 02494-2205
(781) 455-9090
Mailing address
30 WAITE AVE, CRANSTON, RI 02905-1115
(401) 952-3180
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4173
MA
Other
Enumeration date
11/22/2018
Last updated
11/22/2018
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