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Individual

KATHLEEN L MCCRACKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
200 BRICKSTONE SQUARE, 3RD FLOOR, GENESIS REHAB SERVICES, ANDOVER, MA 01810
(800) 804-4494
Mailing address
252 BURNHAM RD, FREEDOM, NH 03836-4805
(757) 869-8661

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131000388
VA
224Z00000X
Occupational Therapy Assistant
Primary
0603
NH

Other

Enumeration date
10/15/2011
Last updated
10/15/2011
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