Individual
MICHELLE MARY KEANE-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1157 ENFIELD STREET, KINDRED HEALTHCARE @ PARKWAY PAVILION, ENFIELD, CT 06082
(860) 745-1641
Mailing address
19 PROSPECT HTS, STAFFORD SPRINGS, CT 06076-1112
(860) 573-7017
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000568
CT
224Z00000X
Occupational Therapy Assistant
2808
MA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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