Individual
KRISTINE TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5632
Mailing address
8 GEORGE ST, 3, CAMBRIDGE, MA 02140-1717
(301) 787-1502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9776
MA
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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