Individual
REBA ANN FENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 EAST ST, WHITINSVILLE, MA 01588-1923
(508) 234-1332
Mailing address
130 EAST ST, WHITINSVILLE, MA 01588-1923
(508) 234-1332
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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