Individual
MCKENNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
65 WALNUT ST STE 580, WELLESLEY, MA 02481-2194
(781) 489-3697
Mailing address
295 VILLAGE ST, MEDWAY, MA 02053-1503
(508) 641-4703
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12370
MA
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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