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1144763459
ALEXANDRIA TEAL
WORCESTER, MA
NPI
1144763459
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Former Name
ALEXANDRIA WATERMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MA 12160)
Enumeration Date
2016-11-18
Last Update Date
2016-11-18
Business Address
ALEXANDRIA TEAL OTR/L
484 MAIN ST EASTER SEALS MASSACHUSETTS
WORCESTER, MA 01608-1893
Phone number: 800-244-2756
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Mailing Address
ALEXANDRIA TEAL OTR/L
414 MARKET ST APT 3
BRIGHTON, MA 02135-2748
Phone number:
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