Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 3388 | MA |
NPI | 1013216407 |
---|---|
Provider Name | Mrs. Dana Marie Carvalho Morin |
First Address | New Bedford, MA 02740-2020 |
Second Address | New Bedford, MA 02740-2020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2011 |
Last Update Date | 24/03/2011 |