Individual
MRS. KIMBERLY ANN RASICOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
50 INDIAN NECK RD, WAREHAM, MA 02571-2174
(508) 295-6264
Mailing address
50 INDIAN NECK RD, WAREHAM, MA 02571-2174
(508) 295-6264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10956
MA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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