Active NPIIndividual providerSole proprietor

Tara Fredenburgh, OTR/L

Occupational Therapist in South Hadley, Massachusetts

NPI Number1205289832
Practice location
30 Old Lyman RD, South Hadley, MA 01075-2630
Fax
413-538-9757
Last updated
September 30, 2019

Tara Fredenburgh is an Occupational Therapist based in South Hadley, MA. Tara Fredenburgh practices in South Hadley, MA and has the professional credentials of OTR/L. The NPI Number for Tara Fredenburgh is 1205289832. The current practice location address for Tara Fredenburgh is 30 Old Lyman RD, South Hadley, MA 01075-2630 and can be reached out via phone at 413-533-7140 and via fax at 413-538-9757.

Provider Profile Details

NPI Number
1205289832
Provider Name
Tara Fredenburgh
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
30 Old Lyman RD, South Hadley, MA 01075-2630
Phone Number
413-533-7140
Fax Number
413-538-9757
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 19, 2016
Last Update Date
September 30, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Old Lyman RD
South Hadley, MA 01075-2630
Zip
01075-2630
Phone Number
413-533-7140
Fax Number
413-538-9757
South Hadley, MA 01075Get directions →

Provider Business Mailing Address Details

Address
30 Old Lyman RD
South Hadley, MA 01075-2630
City
South Hadley
State
MA
Zip
01075-2630
Phone Number
413-533-7140
Fax Number
413-538-9757

License Information

Taxonomy (1)
Social Worker · 104100000X
License State (2)
MA
Taxonomy (2)
Occupational Therapist · 225X00000X · 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 Tara Fredenburgh, OTR/L?

The NPI number of Tara Fredenburgh, OTR/L is 1205289832. It was assigned on July 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Tara Fredenburgh, OTR/L?

Tara Fredenburgh, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X).

Where does Tara Fredenburgh, OTR/L practice?

The practice location is 30 Old Lyman RD, South Hadley, MA 01075-2630. The office can be reached at 413-533-7140 (phone) or 413-538-9757 (fax).

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 1205289832 directly on the NPPES registry website.

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