Elizabeth Skowron

Individual provider Active NPI Occupational Therapy Assistant · Southwick, MA

NPI 1093192148 · NPPES record last updated Apr 28, 2015

Key facts

NPI
1093192148
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
3662 (MA)
Practice address
64 Honey Pot Rd
Southwick, MA 01077-9397
Phone
(860) 306-1013
NPI assigned
Apr 28, 2015
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3662MAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3662 MA Yes

Addresses

Primary practice location

64 Honey Pot Rd
Southwick, MA 01077-9397

Mailing address

64 Honey Pot Rd
Southwick, MA 01077-9397

Other providers in Southwick, MA

All providers in Southwick, MA · Occupational Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.