Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | ||
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 11543 | MA |
NPI | 1053811539 |
---|---|
Provider Name | Emily N Hames |
First Address | Newton Center, MA 02459-2055 |
Second Address | Newton Center, MA 02459-2055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2018 |
Last Update Date | 20/02/2018 |