Healthcare Provider Details

I. General information

NPI: 1205746872
Provider Name (Legal Business Name): COREY JAMES MARKLAND OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MILK ST STE 3
METHUEN MA
01844-4600
US

IV. Provider business mailing address

17 FRANCIS DR
SEABROOK NH
03874-4186
US

V. Phone/Fax

Practice location:
  • Phone: 978-685-0659
  • Fax:
Mailing address:
  • Phone: 978-685-0659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: