Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 6018 | MA |
NPI | 1023260304 |
---|---|
Provider Name | Mrs. Erin Sergi |
First Address | Watertown, MA 02472-2147 |
Second Address | Needham, MA 02494-3023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2008 |
Last Update Date | 16/10/2008 |