Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1941 | MA |
NPI | 1003026774 |
---|---|
Provider Name | Mrs. Maria Asuncion Anthea Arsaga-Mazzone |
First Address | Methuen, MA 01844-2511 |
Second Address | Methuen, MA 01844-2511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |