Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 14319 | MA |
NPI | 1003577115 |
---|---|
Provider Name | Allison Rosenbaum |
First Address | Hull, MA 02045-2020 |
Second Address | Methuen, MA 01844-5817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2022 |
Last Update Date | 02/01/2022 |