Individual
EMMA CAROLINE BIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10 VETERANS MEMORIAL DR, MILFORD, MA 01757-2900
(508) 473-6414
Mailing address
6 MARK DR, BLACKSTONE, MA 01504-1608
(774) 573-8797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12754
MA
225XG0600X
Gerontology Occupational Therapist
12754
MA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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