Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 13762 | MA |
NPI | 1003417908 |
---|---|
Provider Name | Dr. Dagny Yuuki Barclay |
First Address | Watertown, MA 02472-2865 |
Second Address | Boston, MA 02215-1605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2020 |
Last Update Date | 06/11/2020 |