Mercedes Rose Desautel, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · North Attleboro, MA
NPI 1265032452 · NPPES record last updated Oct 28, 2020
Key facts
- NPI
- 1265032452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3772 (MA)
- Practice address
- 85 N Washington St
North Attleboro, MA 02760-1634 - Phone
- (508) 699-2740
- NPI assigned
- Oct 28, 2020
- 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 |
|---|---|---|---|
| 00711 | RI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3772 | MA | Yes |
| Occupational Therapy Assistant | 224Z00000X | 00711 | RI |
Addresses
Primary practice location
85 N Washington St
North Attleboro, MA 02760-1634
Mailing address
2 Englewood Rd
Coventry, RI 02816-5218
Phone (401) 474-6819
Other names
- Mercedes Bravo
Other providers in North Attleboro, MA
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- Martine Delonnay
- Jennifer Ellen Demarco
- Korrey Lynne Demond
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- Brian Devellis
- Brittany Leigh Dilegge
- Ann Ding
- Julianne Distler
- Hitomi Donovan
All providers in North Attleboro, MA · Occupational Therapy Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2020. 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.