Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 256 | MA |
NPI | 1033391743 |
---|---|
Provider Name | Ms. Linda Marie Macdonald |
First Address | Weymouth, MA 02189-1606 |
Second Address | Weymouth, MA 02189-1606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2007 |
Last Update Date | 04/12/2007 |