Organization
LIGHTHOUSE: PEDIATRIC OCCUPATIONAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN ANN PROCOPIO OTR/L (OWNER)
(781) 985-4678
Entity
Organization
Contact information
Practice address
553 HAVERHILL ST, READING, MA 01867-1161
(781) 985-4678
Mailing address
553 HAVERHILL ST, READING, MA 01867-1161
(781) 985-4678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2109
MA
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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