Individual
NICOLE KRYSTA MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
210 BEAR HILL RD, WALTHAM, MA 02451-1025
(781) 790-8479
Mailing address
210 BEAR HILL RD, WALTHAM, MA 02451-1025
(781) 790-8479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10846
MA
Other
Enumeration date
04/09/2013
Last updated
09/11/2020
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