Individual
ALEXANDRA ELAINE DEHERTOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
20 N PARK AVE, PLYMOUTH, MA 02360-4090
(508) 830-0999
Mailing address
20 N PARK AVE, PLYMOUTH, MA 02360-4090
(508) 830-0999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12814
MA
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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