Samantha Alejandro

Individual provider Active NPI Occupational Therapist · Springfield, MA

NPI 1487139341 · NPPES record last updated Sep 26, 2018

Key facts

NPI
1487139341
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
10804 (MA)
Practice address
101 Wason Ave FL 3
Springfield, MA 01107-1140
Phone
(413) 297-7485
NPI assigned
Sep 26, 2018
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)
Yes

State licenses

LicenseStateTypeSpecialty
10804MAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10804 MA Yes

Addresses

Primary practice location

101 Wason Ave FL 3
Springfield, MA 01107-1140

Mailing address

101 Wason Ave FL 3
Springfield, MA 01107-1140
Phone (413) 297-7485

Other providers in Springfield, MA

All providers in Springfield, MA · Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.