Individual
MS. KATHLEEN M THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 WINTER ST STE 105, HYANNIS, MA 02601-3827
(508) 771-3702
Mailing address
35 WINTER ST STE 105, HYANNIS, MA 02601-3827
(508) 771-3702
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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