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Organization

IMAGO REHAB, INC

Active
Other names
Imago Rehab, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTIN NUCKOLS OTD, MOT, OTR/L (CHIEF CLINICAL OFFICER)
(617) 671-0789
Entity
Organization

Contact information

Practice address
110 CANAL ST, 3RD FLOOR, LOWELL, MA 01852
(617) 671-0789
(617) 250-8243
Mailing address
110 CANAL ST STE 3, LOWELL, MA 01852-4589
(617) 250-8243

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary

Other

Enumeration date
07/09/2021
Last updated
04/29/2026
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