Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 3591 | MA |
NPI | 1184828048 |
---|---|
Provider Name | Ms. Lisa M Poirier |
First Address | Charlestown, MA 02129-3200 |
Second Address | Somerville, MA 02145-1102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 08/07/2007 |