Individual
MRS. LISA LIQUORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
84 HIGHLAND ST, FEEDING HILLS, MA 01030-2214
(413) 537-7992
Mailing address
84 HIGHLAND ST, FEEDING HILLS, MA 01030-2214
(413) 537-7992
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1447
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447
STATE OF MA COTA/L
MA
Enumeration date
09/22/2014
Last updated
09/22/2014
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