Michelle Grace Allen, OTR/L

Individual provider Active NPI Occupational Therapist · Canton, MA

NPI 1174921969 · NPPES record last updated Dec 11, 2014

Key facts

NPI
1174921969
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
019159 (NY)
Practice address
35 Prospect St
Canton, MA 02021-2221
Phone
(617) 462-3055
NPI assigned
Dec 11, 2014
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
019159NYMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 019159 NY Yes

Addresses

Primary practice location

35 Prospect St
Canton, MA 02021-2221

Mailing address

35 Prospect St
Canton, MA 02021-2221
Phone (617) 462-3055

Other providers in Canton, MA

All providers in Canton, MA · Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.