Healthcare Provider Details

I. General information

NPI: 1932021482
Provider Name (Legal Business Name): TALENE KNUDSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W FARM POND RD
FRAMINGHAM MA
01702-6285
US

IV. Provider business mailing address

74 NYACK ST
WATERTOWN MA
02472-3110
US

V. Phone/Fax

Practice location:
  • Phone: 508-628-7700
  • Fax:
Mailing address:
  • Phone: 610-550-1240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTL36705
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: