Individual
TRI VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
17 CHIPMAN WAY # 1039, KINGSTON, MA 02364-1039
(781) 585-4100
Mailing address
40 WALDO ST, RANDOLPH, MA 02368-1943
(781) 473-4132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14539
MA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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