Individual
KENNA ILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1R NEWBURY ST, PEABODY, MA 01960-4065
(978) 535-3355
Mailing address
1R NEWBURY ST, PEABODY, MA 01960-4065
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12245
MA
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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