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Individual

MRS. ELISSA C ROSENTHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
778 S MAIN ST, UNIT 2 SHAWS PLAZA, SHARON, MA 02067-2841
(781) 784-0920
Mailing address
443 MASSAPOAG AVE, SHARON, MA 02067-3014
(781) 784-8182

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
873
MA

Other

Enumeration date
06/23/2008
Last updated
12/04/2008
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