Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 478643 | MA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 478643 | MA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 478643 | MA |
NPI | 1629517628 |
---|---|
Provider Name | Miss Kaylee M Preece |
First Address | Lowell, MA 01852-2241 |
Second Address | Methuen, MA 01844-5885 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2017 |
Last Update Date | 17/03/2018 |