Individual
MS. LEAH MICU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(800) 244-2756
(508) 831-9768
Mailing address
559 E 4TH ST, #3, BOSTON, MA 02127-3023
(781) 864-0632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10636
MA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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