Mrs. June Smith
Occupational Therapist - Pediatrics
163 Libbey Industrial Pkwy Suite 302
Weymouth
, Massachusetts 02189-3137
Mrs. June Smith
Occupational Therapist - Pediatrics
163 Libbey Industrial Pkwy Suite 302
Weymouth
, Massachusetts 02189-3137
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. June Smith
- 17 Stanley Rd
- Norwell, MA
- Zip : 02061-1130
- Phone :
Second Address
- Mrs. June Smith
- 163 Libbey Industrial Pkwy Suite 302
- Weymouth, MA
- Zip : 02189-3137
- Fax : (781) 335-6686
- Phone : (781) 335-6663
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 816 | MA |
National Provider Identifier
| NPI | 1023162989 |
|---|---|
| Provider Name | Mrs. June Smith |
| First Address | Norwell, MA 02061-1130 |
| Second Address | Weymouth, MA 02189-3137 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| OT0164 | BCBS PROVIDER ID (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.