Individual
MRS. CORETTA ANDREA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
55 COOPER ST, AGAWAM, MA 01001-2149
(413) 333-2400
Mailing address
55 COOPER ST, AGAWAM, MA 01001-2149
(413) 333-2400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4757
MA
Other
Enumeration date
02/23/2022
Last updated
02/25/2022
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