Organization
ADVANCED OT OF BOSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY ANNE HANNIGAN OT (OWNER/OCCUPATIONAL THERAPIST)
(310) 433-4245
Entity
Organization
Contact information
Practice address
167 M ST APT 1F, SOUTH BOSTON, MA 02127-4258
(310) 433-4245
Mailing address
167 M ST APT 1F, SOUTH BOSTON, MA 02127-4258
(310) 433-4245
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10773
MA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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