Doctor Name: | MS. ANNMARIE LALLY |
NPI Number: | 1609038678 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.O.T.A./L |
License Number: | 505 |
Business Practice Address: | 1 Meadowbrook Way Canton, MA - 020212496 |
Business Phone Number: | 7819615600 |
Business Fax Number: | |
Mailing Address: | 188 Summer St, Unit #11 WEYMOUTH |
State: | MA |
Postal Code: | 021881406 |
Phone Number: | 7818120118 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2008 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |