Individual
MS. LAURIE JEAN KENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
282 CABOT ST, HOLYOKE, MA 01040-3141
(413) 538-7470
Mailing address
152 MALLARD CIR, AGAWAM, MA 01001-3417
(413) 786-7119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2201
MA
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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