Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 6542 | MA |
NPI | 1003939307 |
---|---|
Provider Name | Mrs. Ceci Warsawski |
First Address | Lexington, MA 02420-2521 |
Second Address | Lexington, MA 02420-2521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 08/07/2007 |