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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

NPI # 1194248393
LBN Legal business name KENSINGTON THERAPEUTIC, LLC
Authorized official MEAGAN LEWIS - (OWNER/SPEECH LANGUAGE PATHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
MA License # 76512
CT Medicaid 1326418393
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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