Individual
MRS. DOLORES IVETTE KERSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
999 BROADWAY STE 304, SAUGUS, MA 01906-4510
(781) 289-4306
(781) 558-9565
Mailing address
169 CRESCENT AVE, REVERE, MA 02151-4218
(781) 289-4306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8818
MA
Other
Enumeration date
03/19/2007
Last updated
01/23/2018
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