Individual
KAITLYN BUBNOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
333 TURNPIKE RD, SOUTHBOROUGH, MA 01772-1755
(508) 898-2688
Mailing address
333 TURNPIKE RD, SOUTHBOROUGH, MA 01772-1755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
OTL15412
MA
Other
Enumeration date
09/25/2024
Last updated
09/26/2024
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