Organization
KICKSTART PEDIATRIC THERAPY, LLC
Active
Parent organization
KICKSTART PEDIATRIC THERAPY, LLC
Other names
Kristen Stewart
Organization subpart
Yes
Provider details
NPI number
Legal business name
KICKSTART PEDIATRIC THERAPY, LLC
Authorized official
KRISTEN K STEWART MS, OTR/L (OCCUPATIONAL THERAPIST)
(315) 408-1337
Entity
Organization
Contact information
Practice address
185 CRESCENT ST APT 412, WALTHAM, MA 02453-3498
(315) 408-1337
Mailing address
185 CRESCENT ST APT 412, WALTHAM, MA 02453-3498
(315) 408-1337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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