Angela K Deterra, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Acushnet, MA
NPI 1306127188 · NPPES record last updated Sep 7, 2011
Key facts
- NPI
- 1306127188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA00184-G (RI)
- Practice address
- 1 Bow Dr
Acushnet, MA 02743-1731 - Phone
- (508) 951-1935
- NPI assigned
- Sep 7, 2011
- 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 |
|---|---|---|---|
| OTA00184-G | RI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA00184-G | RI | Yes |
Addresses
Primary practice location
1 Bow Dr
Acushnet, MA 02743-1731
Mailing address
1 Bow Dr
Acushnet, MA 02743-1731
Phone (508) 951-1935
Other providers in Acushnet, MA
- Crabbe Chiropractic, Inc
- Thomas Joseph Crabbe
- Alyson Dahlberg
- Kaitlyn Elizabeth De Sousa
- Mary Demello
- Paula Ann Diffley
- Bella Doumbia
- Kaitlyn Elizabeth Egge
- Nasha Encarnacao
- Heather B. Ferreira
All providers in Acushnet, 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 Sep 7, 2011. 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.