Individual
LISA LAURA DUQUENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
863 HATHAWAY RD, NEW BEDFORD, MA 02740-1916
(508) 996-6763
Mailing address
47 BUTTS ROCK RD, LITTLE COMPTON, RI 02837-2107
(401) 258-1704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3636
MA
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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