Hudson Kieltyka Bielecki

Individual provider Active NPI Occupational Therapy Assistant · West Yarmouth, MA

NPI 1619692175 · NPPES record last updated Oct 6, 2022

Key facts

NPI
1619692175
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
4819 (MA)
Practice address
30 Ansel Hallet Rd
West Yarmouth, MA 02673-2556
Phone
(508) 418-5540
NPI assigned
Oct 6, 2022
Sex
Male
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 4819 MA Yes

Addresses

Primary practice location

30 Ansel Hallet Rd
West Yarmouth, MA 02673-2556

Mailing address

PO Box 444
Eastham, MA 02642-0444

Other providers in West Yarmouth, MA

All providers in West Yarmouth, MA · Occupational Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.