Individual
MS. BRENDA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
40 PARKHURST RD, CHELMSFORD, MA 01824-1513
(617) 320-1642
Mailing address
PO BOX 15064, BOSTON, MA 02215-0002
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3524
MA
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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