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Contact Information

MYA J BRATHWAITE
130 CONDOR ST
EAST BOSTON, MA02128-1305
 Phone: 617-569-6560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MYA J BRATHWAITE · (Female)

NPI Number 1326642216
Status Active
Credentials
Entity Individual
Enumeration date 11/23/2020
Last updated 11/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 15546
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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