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Individual

MRS. LAUREN MARIE KINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
6710
MA
225X00000X
Occupational Therapist
Primary
1305
NH

Other

Enumeration date
11/19/2009
Last updated
05/22/2019
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