Active NPIIndividual providerSole proprietor

Simone E Desroches

Occupational Therapist, Pediatrics in Plymouth, Massachusetts

NPI Number1164260667
Practice location
130 Industrial Park RD, Plymouth, MA 02360-7243
Fax
—
Last updated
July 18, 2024

Simone Elizabeth Desroches is an Occupational Therapist, Pediatrics based in Plymouth, MA. Simone Elizabeth Desroches practices in Plymouth, MA. The NPI Number for Simone Elizabeth Desroches is 1164260667 and holds a License No. OTL15379 (MA). The current practice location address for Simone Elizabeth Desroches is 130 Industrial Park RD, Plymouth, MA 02360-7243 and can be reached out via phone at 774-608-7253.

Provider Profile Details

NPI Number
1164260667
Provider Name
Simone Elizabeth Desroches
Provider Entity Type
Individual
Gender
Female
Address
130 Industrial Park RD, Plymouth, MA 02360-7243
Phone Number
774-608-7253
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2024
Last Update Date
July 18, 2024
Certification Date
July 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Industrial Park RD
Plymouth, MA 02360-7243
Zip
02360-7243
Phone Number
774-608-7253
Plymouth, MA 02360Get directions →

Provider Business Mailing Address Details

Address
20 Russell Trufant RD
Carver, MA 02330-1030
City
Carver
State
MA
Zip
02330-1030

License Information

License Number
OTL15379
License State
MA
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Simone E Desroches?

The NPI number of Simone E Desroches is 1164260667. It was assigned on July 18, 2024 and is currently active in the NPPES registry.

What is the specialty of Simone E Desroches?

Simone E Desroches is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in MA under license number OTL15379.

Where does Simone E Desroches practice?

The practice location is 130 Industrial Park RD, Plymouth, MA 02360-7243. The office can be reached at 774-608-7253 (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 1164260667 directly on the NPPES registry website.

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