Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 1017 | MA |
NPI | 1164565073 |
---|---|
Provider Name | Mrs. Karen Johnson Celi |
First Address | Wellesley, MA 02482-6619 |
Second Address | Roxbury Crossing, MA 02120-2847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 08/07/2007 |