MEDICARE: MS. ELVIRA J, DEFILIPPO 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	4331	MA

General Provider Information

NPI Number	:	1922290246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELVIRA J, DEFILIPPO OTR/L

Provider Business Mailing Address
First Line	:	2062 DORCHESTER AVE
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02124-4704
Country	:	US
Telephone Number	:	617-785-6007
Fax Number	:

Provider Business Practice Location Address
First Line	:	387 QUARRY ST
Second Line	:	STE 102
City	:	FALL RIVER
State	:	MA
Zip	:	02723-1025
Country	:	US
Telephone Number	:	774-991-1875
Fax Number	:	774-244-4404

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

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	05/26/2016

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