Individual
LAURA MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
38 LOOMIS ST, BEDFORD, MA 01730-2214
(781) 271-0671
Mailing address
38 LOOMIS ST, BEDFORD, MA 01730-2214
(781) 271-0671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2097
MA
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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