Elizabeth Alia

Individual provider Active NPI Pediatric Occupational Therapist · Concord, MA

NPI 1972888337 · NPPES record last updated Oct 18, 2011

Key facts

NPI
1972888337
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
5879 (MA)
Practice address
1269 Main St
Concord, MA 01742-3099
Phone
(978) 287-7800
Fax
(978) 287-7801
NPI assigned
Oct 18, 2011
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
5879MAMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5879 MA Yes

Addresses

Primary practice location

1269 Main St
Concord, MA 01742-3099

Mailing address

1269 Main St
Concord, MA 01742-3099
Phone (978) 287-7800

Other providers in Concord, MA

All providers in Concord, MA · Pediatric Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.