Individual
MRS. JANIS RAEYELLIN PEROMSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
214 LAKE ST, CHILD DEVELOPMENT CENTER, SHREWSBURY, MA 01545-3960
(508) 856-4202
Mailing address
28 HADWEN RD, WORCESTER, MA 01602-2938
(508) 753-6781
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3144
MA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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