Individual
CORTNEY MARISSA KASHMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
484 MAIN ST STE 600, WORCESTER, MA 01608-1881
(800) 244-2756
(508) 831-9768
Mailing address
12 COLLIER CIR, SPENCER, MA 01562-1525
(774) 922-2087
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13003
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13003
OCCUPATIONAL THERAPIST LICENSE
MA
Enumeration date
11/30/2018
Last updated
11/30/2018
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