Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 8627 | MA |
NPI | 1023673977 |
---|---|
Provider Name | Alka Swarup |
First Address | Wellesley Hls, MA 02481-5466 |
Second Address | Wellesley Hls, MA 02481 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2019 |
Last Update Date | 07/05/2019 |