Individual
KELLY SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11073
MA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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