Naomi Addai-Mireku

Individual provider Active NPI Developmental Therapist · Milford, MA

NPI 1265953897 · NPPES record last updated Jul 7, 2017

Key facts

NPI
1265953897
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
321 Fortune Blvd
Milford, MA 01757-1750
Phone
(508) 478-0207
NPI assigned
Jul 5, 2017
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
Developmental Therapist 222Q00000X MA Yes

Addresses

Primary practice location

321 Fortune Blvd
Milford, MA 01757-1750

Mailing address

62 Lawton St
Springfield, MA 01109-2031
Phone (413) 885-6745

Other providers in Milford, MA

All providers in Milford, MA · Developmental Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.