Individual
ELONNA JEAN FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
185 HARRISON AVE, BOSTON, MA 02111-1804
(617) 636-4722
Mailing address
38 EDDY ST UNIT 3, WALTHAM, MA 02453-7700
(941) 456-8373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12116
MA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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