Healthcare Provider Details

I. General information

NPI: 1609317270
Provider Name (Legal Business Name): ERIN BELLE-ISLE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MALENFANT OTR/L

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ORCHARDVIEW ST
WEST SPRINGFIELD MA
01089-2976
US

IV. Provider business mailing address

101 ORCHARDVIEW ST
WEST SPRINGFIELD MA
01089-2976
US

V. Phone/Fax

Practice location:
  • Phone: 413-264-6471
  • Fax:
Mailing address:
  • Phone: 413-264-6471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number004650
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number12067
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number25188
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: