Brenda L Provencher, OTR
Occupational Therapist in Auburndale, Massachusetts
1306960950- Practice location
- 120 Seminary Ave, Auburndale, MA 02466-2650
- Phone
- 617-663-7023
- Fax
- —
- Last updated
- July 8, 2007
Brenda Lee Provencher is an Occupational Therapist based in Auburndale, MA. Brenda Lee Provencher practices in Auburndale, MA and has the professional credentials of OTR. The NPI Number for Brenda Lee Provencher is 1306960950 and holds a License No. 8920 (MA). The current practice location address for Brenda Lee Provencher is 120 Seminary Ave, Auburndale, MA 02466-2650 and can be reached out via phone at 617-663-7023.
Provider Profile Details
- NPI Number
- 1306960950
- Provider Name
- Brenda Lee Provencher
- Credential
- OTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Seminary Ave, Auburndale, MA 02466-2650
- Phone Number
- 617-663-7023
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 19, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Seminary Ave
Auburndale, MA 02466-2650 - City
- Auburndale
- State
- Massachusetts
- Zip
- 02466-2650
- Phone Number
- 617-663-7023
Provider Business Mailing Address Details
- Address
- 77 Bunkerhill Pkwy
West Boylston, MA 01583-2022 - City
- West Boylston
- State
- MA
- Zip
- 01583-2022
- Phone Number
- 508-835-4571
License Information
- License Number
- 8920
- License State
- MA
- Taxonomy
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Brenda L Provencher, OTR?
The NPI number of Brenda L Provencher, OTR is 1306960950. It was assigned on March 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Brenda L Provencher, OTR?
Brenda L Provencher, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 8920.
Where does Brenda L Provencher, OTR practice?
The practice location is 120 Seminary Ave, Auburndale, MA 02466-2650. The office can be reached at 617-663-7023 (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 1306960950 directly on the NPPES registry website.