KYLE ANDREW KEGERREIS

KINGSTON, MA
NPI1073085759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MA  4407)
Enumeration Date2018-12-19
Last Update Date2018-12-19
Business Address
Mr. KYLE ANDREW KEGERREIS COTA/L
17 CHIPMAN WAY
KINGSTON, MA 02364-1039
Phone number: 781-585-4100
Mailing Address
Mr. KYLE ANDREW KEGERREIS COTA/L
12 OGDEN ST
PROVIDENCE, RI 02906-4904
Phone number: 615-294-1267