Healthcare Provider Details

I. General information

NPI: 1326910811
Provider Name (Legal Business Name): ERIN OBRIEN OTD, OTR, OT/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 FIELD RD
SUDBURY MA
01776-1120
US

IV. Provider business mailing address

242 W 5TH ST APT 1
SOUTH BOSTON MA
02127-4741
US

V. Phone/Fax

Practice location:
  • Phone: 203-313-2244
  • Fax:
Mailing address:
  • Phone: 203-313-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number36188
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: