Individual
MALLORY JARACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 NORTH AVE, #14, WAKEFIELD, MA 01880-1322
(781) 245-4446
Mailing address
607 NORTH AVE, #14, WAKEFIELD, MA 01880-1322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113334
MA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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