Individual
CASSIDY ANNE DEBETTENCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
413 ESSEX ST, SWAMPSCOTT, MA 01907-1248
(978) 239-6281
Mailing address
413 ESSEX ST, SWAMPSCOTT, MA 01907-1248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12153
MA
Other
Enumeration date
12/28/2016
Last updated
04/12/2019
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