Individual
BRIDGET REILLY LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT #11134
Contact information
Practice address
574 MAIN ST, WEYMOUTH, MA 02190-1818
(781) 331-2533
Mailing address
219 RIVER ST, BRAINTREE, MA 02184-3339
(617) 304-3689
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11134
MA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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