Michelle Ann Provencher, OTR/L
NPI #1760014617 in Southwick, Massachusetts
Provider Information
- NPI Number
- 1760014617
- Entity Type
- Individual
- Name
- Michelle Ann Provencher, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Feb 9, 2020
- Last Updated
- Feb 9, 2020
Practice Location
- Address
- 38 BUGBEE RD
- City
- Southwick
- State
- Massachusetts
- ZIP Code
- 01077-9707
- Phone
- (413) 454-4146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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Organizations
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|---|---|
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