Individual
JODI LYNN DECLEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
103 JOHNSON ST, LYNN, MA 01902-4001
(781) 593-2727
(781) 593-2542
Mailing address
103 JOHNSON STREET, CEREBRAL PALSY OF EASTERN MASS, INC., LYNN, MA 01902
(781) 593-2727
(781) 593-2542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4272
MA
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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