Amy Anderson, COTA

Individual provider Active NPI Occupational Therapy Assistant · Waltham, MA

NPI 1851697783 · NPPES record last updated Feb 10, 2011

Key facts

NPI
1851697783
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
3262 (MA)
Practice address
78 Porter Rd
Waltham, MA 02452-6496
Phone
(781) 894-6118
NPI assigned
Feb 10, 2011
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3262 MA Yes

Addresses

Primary practice location

78 Porter Rd
Waltham, MA 02452-6496

Mailing address

78 Porter Rd
Waltham, MA 02452-6496
Phone (781) 894-6118

Other providers in Waltham, MA

All providers in Waltham, MA · Occupational Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.