Individual
MS. LAURA RACHEL WIESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
76 DAMON RD, NEEDHAM, MA 02494-1004
(781) 455-6216
Mailing address
76 DAMON RD, NEEDHAM, MA 02494-1004
(781) 455-6216
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
212
MA
Other
Enumeration date
10/24/2010
Last updated
10/24/2010
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