Michael Ennis, OTR

NPI #1285844936 in Quincy, Massachusetts

Provider Information

NPI Number: 1285844936
Entity Type: Individual
Name: Michael Ennis, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 164 PARKINGWAY ST
City: Quincy
State: Massachusetts
ZIP Code: 02169-5020
Phone: (617) 773-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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