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Matthew Walerysiak

Occupational Therapy Assistant in Salem, NH. Individual provider (NPI-1).

NPI number1083000442
StatusActive
Last updated in NPPESApr 14, 2015

Details

NPI
1083000442
Entity type
Individual (NPI-1)
Name
Matthew Walerysiak
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 13, 2015
Last updated
Apr 14, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantA02224MDYes

Practice location

2 Keewaydin Dr
Salem, NH 03079-2839

Phone 800-995-2673

Mailing address

2 Keewaydin Dr
Salem, NH 03079-2839

Phone 800-995-2673

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