# ADVANCED OT OF BOSTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609277789
- **Authorized official:** KERRY ANNE HANNIGAN OT (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (310) 433-4245

## Contact information

- **Practice address:** 167 M ST APT 1F, SOUTH BOSTON, MA 02127-4258
- **Practice address phone:** (310) 433-4245
- **Mailing address:** 167 M ST APT 1F, SOUTH BOSTON, MA 02127-4258
- **Mailing address phone:** (310) 433-4245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 10773 | MA | Yes |

## Other

- **Enumeration date:** 09/09/2014
- **Last updated:** 09/09/2014