MEDICARE: BRITTANY TAVANO OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1093427585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY TAVANO OTR/L

Provider Business Mailing Address
First Line	:	25 SAWYER ST
Second Line	:
City	:	METHUEN
State	:	MA
Zip	:	01844-2241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 TECHNOLOGY DR
Second Line	:
City	:	NORTH CHELMSFORD
State	:	MA
Zip	:	01863-2438
Country	:	US
Telephone Number	:	603-502-1447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2022
Last Update Date	:	12/16/2022

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Directions to “ BRITTANY TAVANO OTR/L” Practice Location

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