Individual
JENNIFER KERTYZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
178 NORWOOD AVE, CRANSTON, RI 02905-3923
(401) 921-1470
Mailing address
178 NORWOOD AVE, CRANSTON, RI 02905-3923
(401) 474-2486
(617) 383-6520
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9067
MA
225XP0200X
Pediatric Occupational Therapist
—
RI
Other
Enumeration date
01/14/2008
Last updated
07/12/2023
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