Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 10440 | MA |
NPI | 1083240196 |
---|---|
Provider Name | Ashley Elizabeth Trovato |
First Address | Cataumet, MA 02534-0173 |
Second Address | Cataumet, MA 02534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2020 |
Last Update Date | 20/03/2020 |