Brenda Lee Provencher, OTR
NPI #1306960950 in Auburndale, Massachusetts
Provider Information
- NPI Number
- 1306960950
- Entity Type
- Individual
- Name
- Brenda Lee Provencher, OTR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 120 SEMINARY AVE
- City
- Auburndale
- State
- Massachusetts
- ZIP Code
- 02466-2650
- Phone
- (617) 663-7023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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