Individual
JOHN STOCKBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
164 PARKINGWAY, QUINCY, MA 02169-5020
(617) 773-4222
Mailing address
39 CHURCH ST, MILTON, MA 02186-5511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTL36043
MA
225XP0019X
Physical Rehabilitation Occupational Therapist
OTL36043
MA
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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