Jillian Faulkner, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Wrentham, MA
NPI 1659708402 · NPPES record last updated Oct 10, 2013
Key facts
- NPI
- 1659708402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3322 (MA)
- Practice address
- 90 Taunton St
Wrentham, MA 02093-1349 - Phone
- (508) 384-7977
- NPI assigned
- Oct 10, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3322 | MA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3322 | MA | Yes |
Addresses
Primary practice location
90 Taunton St
Wrentham, MA 02093-1349
Mailing address
28 Whitla Dr
Worcester, MA 01604-1348
Phone (508) 816-9058
Other providers in Wrentham, MA
- Lynne J Doherty
- Priscilla Durant
- Helena Earls
- Education Collaborative for Greater Boston
- Evergreen Valley Medical, PC
- Claudette J Feuling
- Stephanie Fine
- Darlene Patricia Fiotto
- Bonnie Fitzgerald
- Lisa Marie Dandurand Fitzpatrick
All providers in Wrentham, 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 Oct 10, 2013. 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.