Individual
TATIANA MIHAITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
940 BELMONT ST BLDG 23, BROCKTON, MA 02301-5568
(774) 465-0890
Mailing address
940 BELMONT ST, MAIL CODE BR135, BROCKTON, MA 02031
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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