| NPI | 1124367560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION L GAGNON Owner 508-932-7833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 8633) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |