Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kyle Stuart Jerdan, BACHELOR

Individual provider Occupational Therapist · NPI 1770838807

Mr. Kyle Stuart Jerdan, BACHELOR is an Occupational Therapist in Arlington, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

146 Park Ave
Arlington, MA 02476-5829
Phone: (607) 279-7999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 11709 (MA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1770838807
Entity typeIndividual (Type 1)
GenderMale
Credentials BACHELOR
Sole proprietorYes
NPI enumeratedJuly 15, 2012
Last updated in NPPESDecember 8, 2015
Mailing address5 Baldwin Ave Apt 2, Everett, MA 02149-2001

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