Healthcare Provider Details

I. General information

NPI: 1649185893
Provider Name (Legal Business Name): BRYNA CUMPLIDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 WILLOW ST BLDG C
SOUTH HAMILTON MA
01982-2255
US

IV. Provider business mailing address

6 LENWAY RD
NEWBURY MA
01922-1301
US

V. Phone/Fax

Practice location:
  • Phone: 978-209-9150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOTL36868
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: