Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 6262 | MA |
NPI | 1902926256 |
---|---|
Provider Name | Mrs. Sherry Lynn Rodrigues |
First Address | Brighton, MA 02135-2247 |
Second Address | Brighton, MA 02135-2247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |