Provider Demographics
NPI:1568634715
Name:PRICE, KATHRYN WOO (OTR/L)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:WOO
Last Name:PRICE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KENNEDY LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-1133
Mailing Address - Country:US
Mailing Address - Phone:508-485-5318
Mailing Address - Fax:508-485-5319
Practice Address - Street 1:1 KENNEDY LN
Practice Address - Street 2:
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772-1133
Practice Address - Country:US
Practice Address - Phone:508-485-5318
Practice Address - Fax:508-485-5319
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA558225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics