Individual
KERRY ANNE HANNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
59 W 7TH ST, SOUTH BOSTON, SOUTH BOSTON, MA 02127-2510
(310) 433-4245
Mailing address
59 W 7TH ST, SOUTH BOSTON, SOUTH BOSTON, MA 02127-2510
(310) 433-4245
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10773
MA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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