Healthcare Provider Details

I. General information

NPI: 1083311708
Provider Name (Legal Business Name): LEAH CABECEIRAS OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 LOWELL ST
ANDOVER MA
01810-4600
US

IV. Provider business mailing address

15 GREENWOOD ST
AMESBURY MA
01913-3505
US

V. Phone/Fax

Practice location:
  • Phone: 603-484-4070
  • Fax:
Mailing address:
  • Phone: 978-478-8761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number12636
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: