Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT1050 | RI |
NPI | 1306314000 |
---|---|
Provider Name | Colleen Ann Strycharz |
First Address | Seekonk, MA 02771-1209 |
Second Address | Seekonk, MA 02771-1209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2018 |
Last Update Date | 12/11/2018 |