Healthcare Provider Details

I. General information

NPI: 1851572382
Provider Name (Legal Business Name): NATALIE S. FLYNN-SCHOFIELD OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE S. FLYNN OTR/L

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 AMORY ST THOM BOSTON METRO EARLY INTERVENTION PROGRAM, SUITE 5
JAMAICA PLAIN MA
02130-2652
US

IV. Provider business mailing address

555 AMORY ST THOM BOSTON METRO EARLY INTERVENTION PROGRAM, SUITE 5
JAMAICA PLAIN MA
02130-2652
US

V. Phone/Fax

Practice location:
  • Phone: 617-383-6522
  • Fax:
Mailing address:
  • Phone: 617-383-6522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6745
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: