Healthcare Provider Details

I. General information

NPI: 1811182009
Provider Name (Legal Business Name): OCCUPATIONAL & HAND THERAPY ASSOCIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 HILLANDALE RD
ASHBURNHAM MA
01430-1213
US

IV. Provider business mailing address

34 HILLANDALE RD
ASHBURNHAM MA
01430-1213
US

V. Phone/Fax

Practice location:
  • Phone: 978-400-6705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License NumberOT3432
License Number StateMA

VIII. Authorized Official

Name: DENISE RENZI
Title or Position: PRESIDENT
Credential:
Phone: 978-400-6705