MR. Martin John Proulx, COTA-L

NPI #1316097959 in Westboro, Massachusetts

Provider Information

NPI Number
1316097959
Entity Type
Individual
Name
MR. Martin John Proulx, COTA-L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA-L
Enumeration Date
Jan 12, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
WESTBORO STATE HOSPITAL
Address 2
LYMAN STREET
ZIP Code
01581
Phone
(508) 616-2100

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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