Most Relevant Information
Provider Data
| NPI Number: | 1003560848 |
| Provider Name: | KEIANI GARCIA SANTOS GOMES OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2022 |
| Last Updated: | 02/10/2022 |
Provider Practice Location
105 VICTORY RD
DORCHESTER
MA
021223518
Practice Location Phone/Fax
| Phone: | 6173713010 |
| Fax: |
Provider Mailing Location
434 BOWDOIN ST
DORCHESTER
MA
021221875
Provider Mailing Phone/Fax
| Phone: | 8576540372 |
| Fax: |