Individual
JODIE L MOREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 4TH ST, SWANSEA, MA 02777-3207
(774) 644-1798
Mailing address
22 4TH ST, SWANSEA, MA 02777-3207
(774) 644-1798
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2128
MA
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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