Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 2088 | MA |
NPI | 1942324975 |
---|---|
Provider Name | Mr. Gerard Joesph Lambert |
First Address | Cambridge, MA 02141-1115 |
Second Address | Cambridge, MA 02138-1116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |