Individual
MS. SHAYNA JANELLE KOKENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
23 SHAWMUT AVE # 1, MARLBOROUGH, MA 01752-2909
(774) 217-3936
Mailing address
23 SHAWMUT AVE # 1, MARLBOROUGH, MA 01752-2909
(774) 217-3936
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10834
MA
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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