Individual
LISSY PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 521-2200
Mailing address
53 WASHINGTON ST APT 5, BOSTON, MA 02121-3145
(857) 800-5323
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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