Healthcare Provider Details

I. General information

NPI: 1821606864
Provider Name (Legal Business Name): NESCA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2020
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CHAPEL ST
NEWTON MA
02458-1060
US

IV. Provider business mailing address

55 CHAPEL ST
NEWTON MA
02458-1060
US

V. Phone/Fax

Practice location:
  • Phone: 617-512-7952
  • Fax:
Mailing address:
  • Phone: 617-512-7952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ANN HELMUS
Title or Position: DIRECTOR
Credential: PHD
Phone: 617-658-9800