Individual
MISS MCKENNA WILKIE COULBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
28 FOREST RIDGE DR, ROWLEY, MA 01969-2150
(978) 430-8929
Mailing address
117 MAPLE ST, WENHAM, MA 01984-1926
(978) 430-8929
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12315
MA
225XP0200X
Pediatric Occupational Therapist
12315
MA
Other
Enumeration date
05/04/2017
Last updated
02/22/2023
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