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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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