Healthcare Provider Details

I. General information

NPI: 1982204145
Provider Name (Legal Business Name): ROBIN SKLAR OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 BROOKS RD
WAYLAND MA
01778-4622
US

IV. Provider business mailing address

18 BROOKS RD
WAYLAND MA
01778-4622
US

V. Phone/Fax

Practice location:
  • Phone: 508-308-3539
  • Fax:
Mailing address:
  • Phone: 508-308-3539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number382
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number382
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number382
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: