Provider / Organization | NPI | Date Certified |
---|---|---|
KERIANN KOSTANDIA LOUTRARIS | 1538939871 | 2024-10-14 |
Keriann Kostandia Loutraris is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538939871. Registration indicates Keriann Kostandia Loutraris is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Miss Keriann Kostandia Loutraris MSOT |
Practice Office Address | 65 WALNUT ST WELLESLEY, MA US |
Practice Office Telephone | 7814893697 |
Mailing Address | 100 MILK ST STE 10 METHUEN, MA 018444600 US |
Code | Practice | License No State |
---|---|---|
225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 15087
MA |