Individual
MRS. SHERRY GAYLE KENIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1269 MAIN STREET, CONCORD, MA 01742
(978) 728-7780
(978) 287-7801
Mailing address
1269 MAIN STREET, CONCORD, MA 01742
(978) 728-7780
(978) 287-7801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119001432
VA
225X00000X
Occupational Therapist
111364
TX
225X00000X
Occupational Therapist
Primary
OT 13120
FL
225X00000X
Occupational Therapist
OT010000310
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000705700
—
FL
Enumeration date
08/14/2008
Last updated
12/31/2018
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