Individual
SALIMATA CISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
352 DANA FARMS, FAIRHAVEN, MA 02719-3360
(774) 226-6713
Mailing address
352 DANA FARMS, FAIRHAVEN, MA 02719-3360
(774) 226-6713
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14288
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EIN
INTERNAL REVENUE SERVICE (IRS)
—
Enumeration date
01/17/2022
Last updated
03/18/2022
About Stedi
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