Individual
NIKITA DEBARROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608-1893
(800) 244-2756
(508) 831-9768
Mailing address
28 METACOMET AVE, RUMFORD, RI 02916-3119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11579
MA
225X00000X
Occupational Therapist
OT01508
RI
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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