Individual
JESSICA LIEBERMAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
124 WATERTOWN ST, SUITE 1, WATERTOWN, MA 02472-2576
(617) 923-4410
(617) 923-0468
Mailing address
124 WATERTOWN ST, SUITE 1, WATERTOWN, MA 02472-2576
(617) 923-4410
(617) 923-0468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005000
VA
Other
Enumeration date
12/28/2010
Last updated
08/16/2011
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