Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist |
NPI | 1003275447 |
---|---|
Provider Name | Meghan Clements |
First Address | Pittsfield, MA 01201-8027 |
Second Address | Pittsfield, MA 01201-8027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2016 |
Last Update Date | 13/02/2016 |