MEDICARE: KATE JEAN

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	224Z00000X	Occupational Therapy Assistant	OTA2766	MA

General Provider Information

NPI Number	:	1801649348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE JEAN

Provider Business Mailing Address
First Line	:	286 EMERY ST
Second Line	:
City	:	PALMER
State	:	MA
Zip	:	01069-9682
Country	:	US
Telephone Number	:	413-205-9847
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 UNIVERSITY DR
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-2232
Country	:	US
Telephone Number	:	413-256-8185
Fax Number	:

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

Provider Enumeration Date	:	04/05/2024
Last Update Date	:	04/05/2024

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Directions to “ KATE JEAN ” Practice Location

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