Individual
MISS MARY THERESA OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Contact information
Practice address
850 BOYLSTON ST, CHESTNUT HILL, MA 02467-2477
(617) 732-9525
Mailing address
895 ROCK ST, FALL RIVER, MA 02720-3623
(508) 676-5412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3316
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3316
MA LICENSE NUMBER
MA
01
—
91050000509
CERTIF. ASHAND THERAPIST
MA
Enumeration date
11/14/2006
Last updated
07/08/2007
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