NPI 1114658580
Mirta Aurora Santander
Practice location
- Address
- 12 Tyler St, Somerville, MA 02143-3241
- Phone
- (617) 702-5797
- Mailing address
- 270 Bridge St STE 301, Dedham, MA 02026-1883
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1114658580
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jun 2022
- Record last updated
- 21 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.