Kathryn Fyfe, COTA

Individual provider Active NPI Occupational Therapy Assistant · Kingston, MA

NPI 1316614514 · NPPES record last updated Aug 25, 2021

Key facts

NPI
1316614514
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
4684 (MA)
Practice address
17 Chipman Way # 1039
Kingston, MA 02364-1039
Phone
(781) 585-4100
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

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 4684 MA Yes

Addresses

Primary practice location

17 Chipman Way # 1039
Kingston, MA 02364-1039

Mailing address

373 Spring St
West Bridgewater, MA 02379-1106
Phone (774) 218-5070

Other providers in Kingston, MA

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

Sources for this page

Verify at the official NPI Registry.