Individual provider · Type 1 NPI

Renee L. Gannon, COTA L

Skilled Nursing Facility · Brookline, MA

NPI number 1881711331 Active

Practice location

30 Webster St
Brookline, MA 02446-4938

Call (617) 734-2300 Map

Mailing address

96 Elene St
Lowell, MA 01854-1004

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X1741 (MA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

24 other providers at this address

About NPI 1881711331

Renee L. Gannon, COTA L's National Provider Identifier is 1881711331, issued on Mar 22, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Brookline, MA. The record was last updated on Jul 8, 2007.