Basic Information
| Provider Information | |||||||||
| NPI: | 1992223259 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | D'AURORA | ||||||||
| FirstName: | ADRIANNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 60 REVERE RD | ||||||||
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| City: | WOBURN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018015356 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 130 CONDOR ST | ||||||||
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| City: | EAST BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021281305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6175696560 | ||||||||
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| ProviderEnumerationDate: | 09/06/2017 | ||||||||
| LastUpdateDate: | 09/06/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.