Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 6133 | MA |
NPI | 1376967141 |
---|---|
Provider Name | Mrs. Jennifer L O'handley |
First Address | Andover, MA 01810-2036 |
Second Address | Andover, MA 01810-2036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2014 |
Last Update Date | 13/02/2014 |