Individual
GINA ROSE STAFILARAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 COOPER ST, AGAWAM, MA 01001-2149
(413) 333-2400
Mailing address
55 COOPER ST, AGAWAM, MA 01001-2149
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14308
MA
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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