Individual
MRS. MICHELE COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 PANDORA DR, GROVELAND, MA 01834-2017
(978) 373-9990
Mailing address
1 PANDORA DR, GROVELAND, MA 01834-2017
(978) 373-9990
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3435
MA
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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