Individual
MS. JERILYN BRONCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(866) 420-1055
Mailing address
46 CAIN AVE, WEYMOUTH, MA 02189-1645
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9153
MA
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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