Individual
SURA MOHAMED HASSOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
179 BEAR HILL RD STE 105, WALTHAM, MA 02451-1063
(781) 895-9500
Mailing address
808 MEMORIAL DR APT 301B, CAMBRIDGE, MA 02139-4647
(617) 682-5468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14930
MA
Other
Enumeration date
09/25/2023
Last updated
09/26/2023
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