Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 346950 | MA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation |
NPI | 1952594491 |
---|---|
Provider Name | Mrs. Cynthia Francis |
First Address | Dorchester Center, MA 02124-1714 |
Second Address | Dorchester Center, MA 02124-1714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2007 |
Last Update Date | 18/08/2007 |