Individual
LISA KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1077 ENFIELD ST, ENFIELD, CT 06082-3641
(860) 253-5031
(860) 741-4031
Mailing address
84 MAIN ST, CHICOPEE, MA 01020-1838
(413) 331-5660
(413) 331-5661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9951
MA
Other
Enumeration date
03/23/2018
Last updated
12/13/2018
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