Individual
MS. AMY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
78 PORTER RD, WALTHAM, MA 02452-6496
(781) 894-6118
Mailing address
78 PORTER RD, WALTHAM, MA 02452-6496
(781) 894-6118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3262
MA
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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