Individual
ANDREA MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
96 FOREST ST, PEABODY, MA 01960-3907
(978) 532-0303
Mailing address
206 METACOM AVE, WARREN, RI 02885-1926
(401) 245-8201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4194
MA
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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