Individual
IRENE KOUNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR.L
Contact information
Practice address
105 VICTORY RD, DORCHESTER, MA 02122-3518
(617) 371-3090
Mailing address
16 DUDLEY ST, UNIT 1, MEDFORD, MA 02155-4000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3334
MA
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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