Individual
KEVIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
322 PILLINGS POND RD, LYNNFIELD, MA 01940-1345
(617) 850-2080
Mailing address
322 PILLINGS POND RD, LYNNFIELD, MA 01940-1345
(617) 850-2080
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
11043
MA
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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