Individual
VICKY SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
485 SOUTH ST, BELCHERTOWN, MA 01007-9607
(413) 335-6724
Mailing address
485 SOUTH ST, BELCHERTOWN, MA 01007-9607
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12151953
—
MA
Enumeration date
10/04/2021
Last updated
10/04/2021
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