MEDICARE: TIANA VAZQUEZ-FORD 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	OTL36444	MA

General Provider Information

NPI Number	:	1518810795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIANA VAZQUEZ-FORD OTR/L

Provider Business Mailing Address
First Line	:	703 GRANITE ST STE 3
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-5350
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	306A HIGH ST
Second Line	:
City	:	GREENFIELD
State	:	MA
Zip	:	01301-2611
Country	:	US
Telephone Number	:	413-773-3379
Fax Number	:

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

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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