Active NPIIndividual provider

Mrs. Kerry J Bourgeois, COTA/L

Occupational Therapy Assistant in Danvers, Massachusetts

NPI Number1417355215
Practice location
90 Lindall St, Danvers, MA 01923-2125
Fax
—
Last updated
December 10, 2014

Kerry Jean Bourgeois is an Occupational Therapy Assistant based in Danvers, MA. Kerry Jean Bourgeois practices in Danvers, MA and has the professional credentials of COTA/L. The NPI Number for Kerry Jean Bourgeois is 1417355215 and holds a License No. 3231 (MA). The current practice location address for Kerry Jean Bourgeois is 90 Lindall St, Danvers, MA 01923-2125 and can be reached out via phone at 978-777-3740.

Provider Profile Details

NPI Number
1417355215
Provider Name
Kerry Jean Bourgeois
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
90 Lindall St, Danvers, MA 01923-2125
Phone Number
978-777-3740
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
December 10, 2014
Last Update Date
December 10, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Lindall St
Danvers, MA 01923-2125
Zip
01923-2125
Phone Number
978-777-3740
Danvers, MA 01923Get directions →

Provider Business Mailing Address Details

Address
90 Lindall St
Danvers, MA 01923-2125
City
Danvers
State
MA
Zip
01923-2125
Phone Number
978-777-3740

License Information

License Number
3231
License State
MA
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 Mrs. Kerry J Bourgeois, COTA/L?

The NPI number of Mrs. Kerry J Bourgeois, COTA/L is 1417355215. It was assigned on December 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kerry J Bourgeois, COTA/L?

Mrs. Kerry J Bourgeois, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 3231.

Where does Mrs. Kerry J Bourgeois, COTA/L practice?

The practice location is 90 Lindall St, Danvers, MA 01923-2125. The office can be reached at 978-777-3740 (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 1417355215 directly on the NPPES registry website.

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