Organization
THOM MYSTIC VALLEY EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN MCCARTHY OTR/L (OCCUPATIONAL THERAPIST)
(978) 302-0802
Entity
Organization
Contact information
Practice address
11 COLUMBIA RD, WAKEFIELD, MA 01880
(978) 302-0802
Mailing address
11 COLUMBIA RD, UNIT 4, WAKEFIELD, MA 01880-3339
(978) 302-0802
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
8130
MA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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