Individual
MICHELE MARIE PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-5977
Mailing address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-5977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10151
MA
Other
Enumeration date
02/15/2011
Last updated
02/22/2011
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