Stephanie M Ennis, OTR
Individual provider Active NPI Occupational Therapist · Holbrook, MA
NPI 1083826465 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083826465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5820 (MA)
- Practice address
- 211 Centre St
Holbrook, MA 02343-1012 - Phone
- (781) 961-3994
- NPI assigned
- May 5, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5820 | MA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5820 | MA | Yes |
Addresses
Primary practice location
211 Centre St
Holbrook, MA 02343-1012
Mailing address
211 Centre St
Holbrook, MA 02343-1012
Phone (781) 961-3994
Other providers in Holbrook, MA
- Mark Anthony Deleon Kellam
- Katelyn Elizabeth Dell
- Denise Whall-Marlin Licsw PLLC
- Divine Health Group Inc
- Docanto Psychotherapy LLC
- Everhome Home Care LLC
- Everhome Home Health LLC
- Jessica Faiteau
- Susan Feeley
- Talia J Fenoglietto
All providers in Holbrook, MA · Occupational Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.