Individual
MRS. NICOLE GERMAINE KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 WILBUR AVE, SOMERSET, MA 02725-2051
(508) 675-7589
Mailing address
500 WILBUR AVE, SOMERSET, MA 02725-2051
(508) 675-7589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8653
MA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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