Individual
VADIM KRAVETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5 APOLLO ROAD EXT, LONDONDERRY, NH 03053-3287
(603) 260-1861
Mailing address
385 BROADWAY, REVERE, MA 02151-3033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8241
MA
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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