Healthcare Provider Details

I. General information

NPI: 1891173167
Provider Name (Legal Business Name): NATALEE R ROLINCE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2015
Last Update Date: 05/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 VALENTINE RD
PITTSFIELD MA
01201-3042
US

IV. Provider business mailing address

43 LAUREL STREET
HOLYOKE MA
01040
US

V. Phone/Fax

Practice location:
  • Phone: 413-445-2300
  • Fax:
Mailing address:
  • Phone: 774-254-4234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number11564
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: