Individual
DYANNA DESIREE DERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 DOMENIC ST, MILLVILLE, MA 01529-1763
(508) 344-1622
Mailing address
8 DOMENIC ST, MILLVILLE, MA 01529-1763
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3249
MA
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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