Individual
KATHY ELLEN CONSOLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 CHESTNUT ST, SPRINGFIELD, MA 01103-1100
(413) 726-0503
Mailing address
235 CHESTNUT ST, SPRINGFIELD, MA 01103-1100
(413) 726-0503
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
418232
MA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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