Individual
MS. KELLY KATHLEEN SONIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, OTR/L
Contact information
Practice address
535 BOYLSTON ST, BOSTON, MA 02116-3720
(617) 259-1001
Mailing address
21 APPLETON ST, SALEM, MA 01970-1606
(978) 290-1381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9886
MA
Other
Enumeration date
05/01/2010
Last updated
05/01/2010
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