MRS. Renee L Gannon, COTA L

NPI #1881711331 in Brookline, Massachusetts

Provider Information

NPI Number
1881711331
Entity Type
Individual
Name
MRS. Renee L Gannon, COTA L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
COTA L
Enumeration Date
Mar 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
30 WEBSTER ST
ZIP Code
02446-4938
Phone
(617) 734-2300

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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