Individual
JILL ANN KEIRSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
589 HIGHLAND AVE, NEEDHAM, MA 02494-2205
(781) 455-9090
Mailing address
2111 STEARNS HILL RD, WALTHAM, MA 02451-3348
(781) 899-7842
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2999
MA
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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