Diane E. Driscoll, COTA

Individual provider Active NPI Occupational Therapy Assistant · Weymouth, MA

NPI 1295853182 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295853182
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1298 (MA)
Practice address
125 Broad St
Weymouth, MA 02188-2336
Phone
(781) 337-3121
NPI assigned
Mar 27, 2007
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
Occupational Therapy Assistant 224Z00000X 1298 MA Yes

Addresses

Primary practice location

125 Broad St
Weymouth, MA 02188-2336

Mailing address

57 Pecksuot Rd
Weymouth, MA 02191-1611
Phone (781) 337-8682

Other providers in Weymouth, MA

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

Sources for this page

Verify at the official NPI Registry.