Emily Wright Nichols, OTR/L

Individual provider Active NPI Occupational Therapist · Sandisfield, MA

NPI 1821660689 · NPPES record last updated Jul 12, 2021

Key facts

NPI
1821660689
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
13895 (MA)
Practice address
7 Sandisfield Rd
Sandisfield, MA 01255-9621
Phone
(413) 258-4731
NPI assigned
Jul 12, 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

State licenses

LicenseStateTypeSpecialty
5575CTMDOccupational Therapist
13895MAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13895 MA Yes
Occupational Therapist 225X00000X 5575 CT

Addresses

Primary practice location

7 Sandisfield Rd
Sandisfield, MA 01255-9621

Mailing address

6 Foxcroft LN
Collinsville, CT 06019-3723

Other providers in Sandisfield, MA

All providers in Sandisfield, MA · Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.