Individual
MS. SERAPHINE N NDEGWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCC. THERAPIST
Contact information
Practice address
50 OAK ST EXT APT 103, BROCKTON, MA 02301-1126
(617) 595-0518
Mailing address
50 OAK ST EXT APT 103, BROCKTON, MA 02301-1126
(617) 595-0518
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5617
MA
Other
Enumeration date
12/30/2008
Last updated
01/05/2009
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