Individual
KEVIN RYAN COUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
233 MIDDLE ST, BRAINTREE, MA 02184-4840
(781) 843-1860
Mailing address
11 COLD BROOK LN, NORTH DARTMOUTH, MA 02747-1301
(774) 271-2329
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4175
MA
224Z00000X
Occupational Therapy Assistant
OTA00958
RI
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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