Individual
KEITH ROBERT PARTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
39 BUTLER ST, APT # 2, WORCESTER, MA 01607-1351
(508) 259-6594
Mailing address
39 BUTLER ST, APT # 2, WORCESTER, MA 01607-1351
(508) 259-6594
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2506
MA
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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