Active NPIIndividual provider

Eddy E Eder, COTA

Occupational Therapy Assistant in Woburn, Massachusetts

NPI Number1508070954
Practice location
400 W Cummings Park Ste 3950, Woburn, MA 01801-6538
Fax
—
Last updated
July 8, 2007

Eddy E Eder is an Occupational Therapy Assistant based in Woburn, MA. Eddy E Eder practices in Woburn, MA and has the professional credentials of COTA. The NPI Number for Eddy E Eder is 1508070954 and holds a License No. 006553-1 (NY). The current practice location address for Eddy E Eder is 400 W Cummings Park Ste 3950, Woburn, MA 01801-6538 and can be reached out via phone at 845-313-9477.

Provider Profile Details

NPI Number
1508070954
Provider Name
Eddy E Eder
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
400 W Cummings Park Ste 3950, Woburn, MA 01801-6538
Phone Number
845-313-9477
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
May 9, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 W Cummings Park Ste 3950
Woburn, MA 01801-6538
City
Woburn
Zip
01801-6538
Phone Number
845-313-9477
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
33 Main St # B
Highland, NY 12528-1407
City
Highland
State
NY
Zip
12528-1407
Phone Number
845-616-9894

License Information

License Number
006553-1
License State
NY
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 Eddy E Eder, COTA?

The NPI number of Eddy E Eder, COTA is 1508070954. It was assigned on May 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Eddy E Eder, COTA?

Eddy E Eder, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NY under license number 006553-1.

Where does Eddy E Eder, COTA practice?

The practice location is 400 W Cummings Park Ste 3950, Woburn, MA 01801-6538. The office can be reached at 845-313-9477 (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 1508070954 directly on the NPPES registry website.

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