Individual
LISA KATHERINE AUGUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360
(508) 747-2012
Mailing address
423 ADAMS ST, ABINGTON, MA 02351-1346
(781) 878-2426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5236
MA
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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