Provider Demographics
NPI:1881740710
Name:KLINE, ANN MARIE (OTD, OTRL)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:KLINE
Suffix:
Gender:F
Credentials:OTD, OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SARGENT RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:NH
Mailing Address - Zip Code:03033-2523
Mailing Address - Country:US
Mailing Address - Phone:508-561-5471
Mailing Address - Fax:
Practice Address - Street 1:20 SARGENT RD
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:NH
Practice Address - Zip Code:03033-2523
Practice Address - Country:US
Practice Address - Phone:508-561-5471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2022-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7937225X00000X
NH1556225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist