Individual
JENALEE HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
500 GRANITE AVE STE 1, MILTON, MA 02186-5626
(617) 691-7140
Mailing address
194 CENTER ST, GROVELAND, MA 01834-1709
(781) 307-0624
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4709
MA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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