Individual
TAYLOR HENNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
66 NEWTON ST, WALTHAM, MA 02453-6063
(781) 893-0240
Mailing address
66 NEWTON ST, WALTHAM, MA 02453-6063
(781) 893-0240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13532
MA
Other
Enumeration date
03/16/2020
Last updated
04/09/2020
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