Individual
MISS ERICA CHRISTINE DAMIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-5977
Mailing address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-5977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA00571
RI
Other
Enumeration date
04/04/2012
Last updated
07/12/2013
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