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Organization

EMERGING KIDS PEDIATRIC OCCUPATIONAL THERAPY

Active
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Organization

EMERGING KIDS PEDIATRIC OCCUPATIONAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CODY LUKASIK (OCCUPATIONAL THERAPIST)
(413) 923-4198
Entity
Organization

Contact information

Practice address
494 BOSTON POST RD APT C122, WAYLAND, MA 01778-1877
(781) 514-5673
Mailing address
396 WASHINGTON ST STE 227, WELLESLEY, MA 02481-6209
(781) 514-5673

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
02/19/2025
Last updated
02/19/2025
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