Provider Demographics
NPI:1841638822
Name:ROMEO, KATHRYN (MS)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:ROMEO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ROCKY DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01740-1359
Mailing Address - Country:US
Mailing Address - Phone:978-580-6081
Mailing Address - Fax:
Practice Address - Street 1:16 ROCKY DUNDEE RD
Practice Address - Street 2:
Practice Address - City:BOLTON
Practice Address - State:MA
Practice Address - Zip Code:01740-1359
Practice Address - Country:US
Practice Address - Phone:978-580-6081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist