| NPI | 1154026839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JOAN MARNELL Owner 617-694-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XG0600X Occupational Therapist, Gerontology | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |