Organization
KENSINGTON THERAPEUTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN LEWIS CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(617) 600-8163
Entity
Organization
Contact information
Practice address
46 PRESCOTT ST, WATERTOWN, MA 02472-1794
(617) 600-8163
Mailing address
46 PRESCOTT ST, WATERTOWN, MA 02472-1794
(617) 600-8163
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
76512
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326418393
—
CT
Enumeration date
07/19/2017
Last updated
07/21/2022
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