Individual
JANE E MAZERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
20 BRIAR AVE, LOWELL, MA 01852-1604
(978) 454-4731
Mailing address
20 BRIAR AVE, LOWELL, MA 01852
(978) 454-4731
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1529
MA
225XP0019X
Physical Rehabilitation Occupational Therapist
1529
MA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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