Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 35 | MA |
N | 225XG0600X | Occupational Therapist - Gerontology | 0119005378 | VA |
NPI | 1326290065 |
---|---|
Provider Name | Pamela Billings |
First Address | Boston, MA 02241-5341 |
Second Address | Worcester, MA 01655-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2008 |
Last Update Date | 01/03/2016 |