Individual
BERNICE AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 THATCHER ST, BROCKTON, MA 02302-3949
(508) 583-5834
Mailing address
38 CARLISLE ST, BROCKTON, MA 02302-4048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3899
MA
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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