CARLA E. PROVOST

NORTH BILLERICA, MA
NPI1699943571
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MA  8622)
Enumeration Date2008-02-13
Last Update Date2008-02-13
Business Address
-- CARLA E. PROVOST OT
80 BOSTON RD
NORTH BILLERICA, MA 01862-1034
Phone number: 978-667-2166
Mailing Address
-- CARLA E. PROVOST OT
467 PROSPECT ST UNIT 2
METHUEN, MA 01844-7514
Phone number: 978-886-2780