Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4249 | MA |
NPI | 1003053406 |
---|---|
Provider Name | Ms. Ann Sarah Robinson |
First Address | Duxbury, MA 02332-3847 |
Second Address | Plymouth, MA 02360-4881 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2009 |
Last Update Date | 07/01/2009 |