Individual
MS. MARJORIE JEAN TALACKO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
25 SUMMER ST, GEORGETOWN, MA 01833
(978) 771-6903
Mailing address
25 SUMMER ST, GEORGETOWN, MA 01833
(978) 771-6903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
406
MA
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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