EMILY MARIE PROVASOLI

WORCESTER, MA
NPI1841705696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2017-12-01
Last Update Date2017-12-01
Business Address
EMILY MARIE PROVASOLI
345 GREENWOOD ST STE A
WORCESTER, MA 01607-1767
Phone number: 508-363-0200
Mailing Address
EMILY MARIE PROVASOLI
345 GREENWOOD ST STE A
WORCESTER, MA 01607-1767
Phone number: 508-363-0200