Individual
KATIE NEE HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
444 WASHINGTON ST, SUITE 401, WOBURN, MA 01801-1046
(781) 937-9777
(781) 937-9767
Mailing address
12B LYMAN ST, LYNN, MA 01902-4010
(781) 842-0062
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3139
MA
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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