Individual
KIMBERLY WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
1147 SHARPS LOT RD, SWANSEA, MA 02777-5024
(508) 212-5514
Mailing address
1147 SHARPS LOT RD, SWANSEA, MA 02777-5024
(508) 212-5514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10571
MA
225X00000X
Occupational Therapist
Primary
OT01319
RI
Other
Enumeration date
04/21/2015
Last updated
05/30/2024
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