Individual
SARAH DESILETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ERDMAN WAY, LEOMINSTER, MA 01453-1804
(978) 840-9354
Mailing address
134 5TH ST, APT 2, LEOMINSTER, MA 01453-6002
(978) 660-5432
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
S17291406
MA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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