Individual
JENNY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
500 GRANITE AVE STE 1, MILTON, MA 02186-5626
(617) 691-7140
Mailing address
14 RHODE ISLAND AVE, SOMERVILLE, MA 02145-2116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
423803
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13298
MASSACHUSETTS BOARD OF ALLIED HEALTH
MA
01
—
423803
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
11/13/2019
Last updated
11/13/2019
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