Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225CX0006X | Orientation and Mobility Training Provider | 3103 | MA |
NPI | 1932338795 |
---|---|
Provider Name | Ms. Brenda Marie Tri |
First Address | West Barnstable, MA 02668-1118 |
Second Address | West Barnstable, MA 02668-1118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2009 |
Last Update Date | 14/07/2009 |