Individual
MS. DONNA ROSE INTRAVAIA-HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
500 WENTWORTH AVE, LOWELL, MA 01852-4937
(978) 761-2545
Mailing address
500 WENTWORTH AVE, LOWELL, MA 01852-4937
(978) 761-2545
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3550
MA
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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