Provider Demographics
NPI:1114176922
Name:KILCOYNE, FRANCIS THOMAS JR (OT/L)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:THOMAS
Last Name:KILCOYNE
Suffix:JR
Gender:M
Credentials:OT/L
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:807 WILBRAHAM RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109-2067
Mailing Address - Country:US
Mailing Address - Phone:413-796-2854
Mailing Address - Fax:413-782-8852
Practice Address - Street 1:807 WILBRAHAM RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01109-2067
Practice Address - Country:US
Practice Address - Phone:413-796-2854
Practice Address - Fax:413-782-8852
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1185225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist