Healthcare Provider Details

I. General information

NPI: 1578960324
Provider Name (Legal Business Name): ANA BARREIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2014
Last Update Date: 11/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4586 ACUSHNET AVE
NEW BEDFORD MA
02745-4715
US

IV. Provider business mailing address

373 BELLEVILLE AVE
NEW BEDFORD MA
02746-2406
US

V. Phone/Fax

Practice location:
  • Phone: 508-985-2424
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number3557
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: