Kenneth D Pavao, OTA
Occupational Therapy Assistant in New Bedford, Massachusetts
1063538361- Practice location
- 863 Hathaway RD, New Bedford, MA 02740-1916
- Phone
- 508-996-6763
- Fax
- —
- Last updated
- July 8, 2007
Kenneth D Pavao is an Occupational Therapy Assistant based in New Bedford, MA. Kenneth D Pavao practices in New Bedford, MA and has the professional credentials of OTA. The NPI Number for Kenneth D Pavao is 1063538361 and holds a License No. 3001 (MA). The current practice location address for Kenneth D Pavao is 863 Hathaway RD, New Bedford, MA 02740-1916 and can be reached out via phone at 508-996-6763.
Provider Profile Details
- NPI Number
- 1063538361
- Provider Name
- Kenneth D Pavao
- Credential
- OTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 863 Hathaway RD, New Bedford, MA 02740-1916
- Phone Number
- 508-996-6763
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 21, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 863 Hathaway RD
New Bedford, MA 02740-1916 - City
- New Bedford
- State
- Massachusetts
- Zip
- 02740-1916
- Phone Number
- 508-996-6763
Provider Business Mailing Address Details
- Address
- 17 Adirondack Ln
Westport, MA 02790-3311 - City
- Westport
- State
- MA
- Zip
- 02790-3311
License Information
- License Number (1)
- 3001
- License State (1)
- MA
- Taxonomy (1)
- Occupational Therapy Assistant · 224Z00000X · Primary
- License Number (2)
- 00376
- License State (2)
- RI
- Taxonomy (2)
- Occupational Therapy Assistant · 224Z00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapy Assistants near New Bedford, MA
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Frequently Asked Questions
What is the NPI number of Kenneth D Pavao, OTA?
The NPI number of Kenneth D Pavao, OTA is 1063538361. It was assigned on March 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Kenneth D Pavao, OTA?
Kenneth D Pavao, OTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 3001.
Where does Kenneth D Pavao, OTA practice?
The practice location is 863 Hathaway RD, New Bedford, MA 02740-1916. The office can be reached at 508-996-6763 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063538361 directly on the NPPES registry website.