Healthcare Provider Details

I. General information

NPI: 1710401351
Provider Name (Legal Business Name): KYLIE ANN ALMEIDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 07/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 ELSBREE ST
FALL RIVER MA
02720-7211
US

IV. Provider business mailing address

38 AQUIDNECK AVE
PORTSMOUTH RI
02871-4304
US

V. Phone/Fax

Practice location:
  • Phone: 508-677-5951
  • Fax:
Mailing address:
  • Phone: 508-677-5951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number11777
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT01541
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number11777
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: