Deborah Rose Bauch, OTR

Individual provider Active NPI Pediatric Occupational Therapist · Acton, MA

NPI 1043356306 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043356306
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
3016 (MA)
Practice address
524 Main St
Acton, MA 01720-3301
Phone
(978) 266-3700
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3016 MA Yes

Addresses

Primary practice location

524 Main St
Acton, MA 01720-3301

Mailing address

78 Macintosh LN
Boxborough, MA 01719-2012
Phone (978) 857-5502

Other providers in Acton, MA

All providers in Acton, MA · Pediatric Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.