Individual
KASEY JOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 BRIDGE ST, NEWTON, MA 02458-1147
(617) 969-4410
Mailing address
283 WASHINGTON ST, WINCHESTER, MA 01890-2043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12446
MA
Other
Enumeration date
11/05/2017
Last updated
11/05/2017
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