Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XM0800X | Mental Health | 1952 | MA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 1952 | MA |
NPI | 1346475795 |
---|---|
Provider Name | Michelle M Savrann |
First Address | Worcester, MA 01604-5428 |
Second Address | Worcester, MA 01604-5428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2009 |
Last Update Date | 28/05/2009 |