Healthcare Provider Details

I. General information

NPI: 1962652412
Provider Name (Legal Business Name): EMILY VOIGT MOT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2008
Last Update Date: 04/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 PROSPECT ST
NORWOOD MA
02062-1467
US

IV. Provider business mailing address

275 PROSPECT ST
NORWOOD MA
02062-1467
US

V. Phone/Fax

Practice location:
  • Phone: 718-255-1817
  • Fax: 781-762-8542
Mailing address:
  • Phone: 718-255-1817
  • Fax: 781-762-8542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10590
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: