Amanda Rose Diblasi, COTA
Individual provider Active NPI Occupational Therapy Assistant · North Reading, MA
NPI 1801330337 · NPPES record last updated Dec 19, 2016
Key facts
- NPI
- 1801330337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4145 (MA)
- Practice address
- 134 North St
North Reading, MA 01864-1315 - Phone
- (978) 276-2000
- NPI assigned
- Dec 19, 2016
- 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 |
|---|---|---|---|
| 4145 | MA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4145 | MA | Yes |
Addresses
Primary practice location
134 North St
North Reading, MA 01864-1315
Mailing address
12 Lovell Road
Stratham, NH 03885
Phone (631) 704-3824
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All providers in North Reading, 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 Dec 19, 2016. 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.