Individual
DIANA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 OLESEN RD, DERRY, NH 03038-4846
(617) 504-6346
Mailing address
90 OUTLOOK RD, WAKEFIELD, MA 01880-1453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3561
MA
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
01/09/2015
Last updated
01/16/2024
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