Individual
KELLY GIAQUINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
489 WINTHROP ST, MEDFORD, MA 02155-2349
(781) 275-0148
Mailing address
489 WINTHROP ST, MEDFORD, MA 02155-2349
(781) 275-0148
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3125
MA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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