Individual
ELIDA MARLENY DEBARROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
87 N QUINCY ST, BROCKTON, MA 02302-2655
(508) 566-5658
Mailing address
87 N QUINCY ST, BROCKTON, MA 02302-2655
(508) 566-5658
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2608
MA
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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