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Individual

KATHLENE EMANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
345A GREENWOOD STREET, SUITE B, WORCESTER, MA 01607
(508) 363-0200
Mailing address
131 OLD N WOODSTOCK RD APT 2, SOUTHBRIDGE, MA 01550-2837
(562) 895-2782

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
225X00000X
Occupational Therapist
Primary
5476
CT

Other

Enumeration date
12/28/2016
Last updated
09/07/2020
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