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Contact Information

KENSINGTON THERAPEUTIC, LLC
46 PRESCOTT ST
WATERTOWN, MA02472-1794
 Phone: 617-600-8163
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for KENSINGTON THERAPEUTIC LLC · (Female)

NPI Number 1194248393
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 76512
  • CT Medicaid 1326418393
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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