Individual
MARY ELLEN SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 MAIN ST, BUZZARDS BAY, MA 02532-3224
(774) 247-4868
Mailing address
85 MAIN ST, BUZZARDS BAY, MA 02532-3224
(774) 247-4868
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1879
MA
225XH1200X
Hand Occupational Therapist
PENDING
NH
Other
Enumeration date
02/05/2007
Last updated
12/09/2024
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