WADE ROACH

BROCKTON, MA
NPI1588034383
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MA  3996)
Enumeration Date2015-10-06
Last Update Date2015-10-06
Business Address
WADE ROACH COTA/L
888 N MAIN ST 5085876566
BROCKTON, MA 02301-1668
Phone number: 508-587-6566
Mailing Address
WADE ROACH COTA/L
888 N MAIN ST 5085876566
BROCKTON, MA 02301-1668
Phone number: 508-587-6566