MEDICARE: MS. ANNABEL LUNARDINI BS CEIS CIMI

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	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1295885994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNABEL LUNARDINI BS CEIS CIMI

Provider Business Mailing Address
First Line	:	35 ERBECK CIRCLE EXT
Second Line	:
City	:	BRIDGEWATER
State	:	MA
Zip	:	02324-2561
Country	:	US
Telephone Number	:	617-501-9010
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 WEST CHESTNUT ST
Second Line	:
City	:	BROCKTON
State	:	MA
Zip	:	02301
Country	:	US
Telephone Number	:	508-559-0473
Fax Number	:	508-427-5361

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	04/13/2026

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