Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 2407 | MA |
NPI | 1033311261 |
---|---|
Provider Name | Mrs. Donna J Pinard |
First Address | Harvard, MA 01451-1624 |
Second Address | Lowell, MA 01854-1913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 08/07/2007 |