Jennifer M. Kenary, OTR/L

Individual provider Active NPI Occupational Therapist · Millbury, MA

NPI 1174896005 · NPPES record last updated Feb 23, 2012

Key facts

NPI
1174896005
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
4061 (MA)
Practice address
26 Rayburn Dr.
Millbury, MA 01527
Phone
(508) 865-7157
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4061MAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4061 MA Yes

Addresses

Primary practice location

26 Rayburn Dr.
Millbury, MA 01527

Mailing address

26 Rayburn Dr
Millbury, MA 01527-4178
Phone (508) 865-7157

Other providers in Millbury, MA

All providers in Millbury, MA · Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.