Individual
MRS. LISA W NASANOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
70 PINE AVE, RANDOLPH, MA 02368-3835
(781) 961-2549
Mailing address
70 PINE AVE, RANDOLPH, MA 02368-3835
(781) 961-2549
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8389
MA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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