Healthcare Provider Details

I. General information

NPI: 1104007293
Provider Name (Legal Business Name): JANE ELIZABETH CAWLEY MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2007
Last Update Date: 11/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 W CENTRAL ST NATICK CROSSING SUITE 22
NATICK MA
01760-3758
US

IV. Provider business mailing address

251 W CENTRAL ST NATICK CROSSING SUITE 22
NATICK MA
01760-3758
US

V. Phone/Fax

Practice location:
  • Phone: 508-655-5222
  • Fax: 508-655-9737
Mailing address:
  • Phone: 508-655-5222
  • Fax: 508-655-9737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number6918
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: