Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 11553 | MA |
NPI | 1003295635 |
---|---|
Provider Name | Shannon Finlay |
First Address | Melrose, MA 02176-4705 |
Second Address | Braintree, MA 02184-4301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2015 |
Last Update Date | 28/05/2015 |