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Individual

MRS. JUSTINE MARIE CALLANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., OTR/L, CEIS

Contact information

Practice address
4 SAMOSET AVE, MANSFIELD, MA 02048-2237
(508) 208-8438
(508) 337-8438
Mailing address
4 SAMOSET AVE, MANSFIELD, MA 02048-2237
(508) 208-8438
(508) 337-8438

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
9995
MA

Other

Enumeration date
10/05/2009
Last updated
11/16/2015
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