Most Relevant Information
Provider Data
| NPI Number: | 1003449380 |
| Provider Name: | KELLY K WINSHIP |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/15/2020 |
| Last Updated: | 02/15/2020 |
Provider Practice Location
567 PEARL ST
GARDNER
MA
014401715
Practice Location Phone/Fax
| Phone: | 9786324432 |
| Fax: | 9786326022 |
Provider Mailing Location
567 PEARL ST
GARDNER
MA
014401715
Provider Mailing Phone/Fax
| Phone: | 9786324432 |
| Fax: | 9786326022 |