Individual
EDWIN K KIPTOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
270 UNION ST STE 304, LYNN, MA 01901-1348
(978) 203-9191
(978) 203-9195
Mailing address
270 UNION ST STE 304, LYNN, MA 01901-1348
(978) 203-9191
(978) 203-9195
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4565
MA
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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