Individual
SABRINA LEEANN BASTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CHIPMAN WAY, KINGSTON, MA 02364-1065
(781) 585-4101
Mailing address
21 CHIPMAN WAY, KINGSTON, MA 02364-1065
(781) 585-4101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14403
MA
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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