Individual
DNYANESH PRANAY KANAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
10 RIVER RD, STURBRIDGE, MA 01566-1112
(413) 426-1711
Mailing address
10 RIVER RD, STURBRIDGE, MA 01566-1112
(413) 426-1711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12098
MA
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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