Individual
KATELYNN DORNBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13076
MA
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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