Individual
MS. MICHELLE RUTH ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
464 MAIN ST, AGAWAM, MA 01001-1826
(413) 786-8000
Mailing address
3 HUNTINGTON AVE, CHICOPEE, MA 01020-2514
(413) 592-2161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1919
MA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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