Active NPIIndividual providerSole proprietor

Angela K Deterra, COTA/L

Occupational Therapy Assistant in Acushnet, Massachusetts

NPI Number1306127188
Practice location
1 Bow Dr, Acushnet, MA 02743-1731
Fax
—
Last updated
September 7, 2011

Angela K Deterra is an Occupational Therapy Assistant based in Acushnet, MA. Angela K Deterra practices in Acushnet, MA and has the professional credentials of COTA/L. The NPI Number for Angela K Deterra is 1306127188 and holds a License No. OTA00184-G (RI). The current practice location address for Angela K Deterra is 1 Bow Dr, Acushnet, MA 02743-1731 and can be reached out via phone at 508-951-1935.

Provider Profile Details

NPI Number
1306127188
Provider Name
Angela K Deterra
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
1 Bow Dr, Acushnet, MA 02743-1731
Phone Number
508-951-1935
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 7, 2011
Last Update Date
September 7, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bow Dr
Acushnet, MA 02743-1731
Zip
02743-1731
Phone Number
508-951-1935
Acushnet, MA 02743Get directions →

Provider Business Mailing Address Details

Address
1 Bow Dr
Acushnet, MA 02743-1731
City
Acushnet
State
MA
Zip
02743-1731
Phone Number
508-951-1935

License Information

License Number
OTA00184-G
License State
RI
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Angela K Deterra, COTA/L?

The NPI number of Angela K Deterra, COTA/L is 1306127188. It was assigned on September 7, 2011 and is currently active in the NPPES registry.

What is the specialty of Angela K Deterra, COTA/L?

Angela K Deterra, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in RI under license number OTA00184-G.

Where does Angela K Deterra, COTA/L practice?

The practice location is 1 Bow Dr, Acushnet, MA 02743-1731. The office can be reached at 508-951-1935 (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 1306127188 directly on the NPPES registry website.

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