Individual
KEVIN WILLIAM DEVENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
501 JOHN MAHAR HWY, BRAINTREE, MA 02184-6599
(781) 534-2277
Mailing address
88 MAPLE ST APT 6, MALDEN, MA 02148-3875
(781) 534-2277
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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