Individual
MICHELLE BELANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BURLINGTON WOODS, SUITE 304, BURLINGTON, MA 01803-4532
(781) 270-0222
Mailing address
22 MONTVALE RD, WOBURN, MA 01801-3216
(781) 270-0222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2633
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2633
LICENSE
MA
Enumeration date
10/22/2009
Last updated
10/22/2009
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