Jean Robinson Childs, OT
Individual provider Active NPI Occupational Therapist · Gloucester, MA
NPI 1295290344 · NPPES record last updated Feb 14, 2019
Key facts
- NPI
- 1295290344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 767 (MA)
- Practice address
- 29 Emerson Ave
Gloucester, MA 01930-2556 - Phone
- (978) 675-9526
- NPI assigned
- Feb 4, 2019
- 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 |
|---|---|---|---|
| 767 | MA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 767 | MA | Yes |
Addresses
Primary practice location
29 Emerson Ave
Gloucester, MA 01930-2556
Mailing address
4 Lunt St
Byfield, MA 01922-1232
Phone (978) 463-3583
Other providers in Gloucester, MA
- Jonathan Chapin
- Kyle Avery Chear
- Xiyan Chen
- Rebecca Chernek
- Scotadam Judah Chernov
- Brianne Martha Christopher
- Elizabeth Mary Ciolino
- Salvatore Ciolino
- City of Gloucester
- City of Gloucester
All providers in Gloucester, 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 Feb 14, 2019. 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.