Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 3522 | MA |
NPI | 1013517234 |
---|---|
Provider Name | Maria G Barboza I |
First Address | Tiverton, RI 02878-3832 |
Second Address | Fall River, MA 02720-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2020 |
Last Update Date | 27/10/2020 |