Kickstart Pediatric Therapy, LLC

NPI #1740938448 in Waltham, Massachusetts

Provider Information

NPI Number: 1740938448
Entity Type: Organization
Organization Name: Kickstart Pediatric Therapy, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: KICKSTART PEDIATRIC THERAPY, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 13, 2022
Last Updated: Mar 13, 2022

Practice Location

Address: 185 CRESCENT ST APT 412
City: Waltham
State: Massachusetts
ZIP Code: 02453-3498
Phone: (315) 408-1337

Authorized Official

Name: KRISTEN K STEWART, MS, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (315) 408-1337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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