Individual
MRS. KERRI DERENZO TYMESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
34 CREST ROAD WAY, SHARON, MA 02067-1410
(781) 784-3320
Mailing address
355 HOLYOKE RD, WESTFIELD, MA 01085-1718
(413) 568-8964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4761
MA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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