Individual
MS. JENNIFER LEE KONISKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
247 EDGEBROOK DR, BOYLSTON, MA 01505-1718
(508) 869-6920
Mailing address
247 EDGEBROOK DR, BOYLSTON, MA 01505-1718
(508) 869-6920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8570
MA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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