Individual
MR. JOHN MICHAEL KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA,L
Contact information
Practice address
WESTBORO STATE HOSPITAL, 2880 LYMAN STREET, WESTBORO, MA 01581-0288
(508) 616-2319
Mailing address
WESTBORO STATE HOSPITAL, 2880 LYMAN STREET, WESTBORO, MA 01581-0288
(508) 616-2319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1130
MA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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