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

Individual provider Skilled Nursing Facility · NPI 1881711331

Mrs. Renee L Gannon, COTAL is a Skilled Nursing Facility in Brookline, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2007
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Practice location Address checks out

30 Webster St
Brookline, MA 02446-4938
Phone: (617) 734-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 1741 (MA)

Record details

NPI number1881711331
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTAL
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESJuly 8, 2007

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