Individual
MRS. KELLY J KNIZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
320 MAIN ST, WEST NEWBURY, MA 01985-1420
(978) 363-5553
(978) 363-2435
Mailing address
27 BALDPATE RD, GEORGETOWN, MA 01833-2302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3941
MA
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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