Individual
MRS. TARA LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 COREY ROAD, BRIGHTON, MA 02135
(617) 731-0515
Mailing address
31 HATHERLY ROAD, BRIGHTON, MA 02135
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10686
MA
Other
Enumeration date
04/15/2013
Last updated
09/03/2014
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