Matthew Walerysiak

NPI 1083000442 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1083000442
Gender Male
Enumeration Date 04/13/2015
Last Updated 04/14/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2 KEEWAYDIN DR
SALEM NH, 03079-2839, US
Phone (800) 995-2673
Fax
Business Location
2 KEEWAYDIN DR
SALEM NH, 03079-2839, US
Phone (800) 995-2673
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Maryland
License Number A02224
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According to our database, Matthew Walerysiak NPI is 1083000442, taxonomy code is 224Z00000X and license number is A02224, license state is located at Maryland. Matthew Walerysiak physically located at 2 Keewaydin Dr, Salem NH, 03079-2839. NPI Number Matthew Walerysiak has the Individual type.

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1083000442 NPI number is provided on an as is basis without warranty of any kind. 1083000442 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Walerysiak are for informational purposes only.