Individual
MRS. JAYMIE GENATOSSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 PLEASANT ST, BROCKTON, MA 02301-3055
(508) 583-6000
Mailing address
95 ROCKLAND DR, BROCKTON, MA 02301-2955
(150) 851-0364
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2697
MA
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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