Healthcare Provider Details

I. General information

NPI: 1063329571
Provider Name (Legal Business Name): ASHLEY LOH OTD, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 UNICORN PARK DR
WOBURN MA
01801-3324
US

IV. Provider business mailing address

200 UNICORN PARK DR
WOBURN MA
01801-3324
US

V. Phone/Fax

Practice location:
  • Phone: 781-782-1300
  • Fax:
Mailing address:
  • Phone: 781-782-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOTL36847
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: