Active NPIIndividual providerSole proprietor

Mrs. Lisa A Wadhams, COTA

Occupational Therapy Assistant in Agawam, Massachusetts

NPI Number1629260633
Practice location
65 Cooper St, Agawam, MA 01001
Fax
—
Last updated
August 14, 2007

Lisa Ann Wadhams is an Occupational Therapy Assistant based in Agawam, MA. Lisa Ann Wadhams practices in Agawam, MA and has the professional credentials of COTA. The NPI Number for Lisa Ann Wadhams is 1629260633 and holds a License No. 3071 (MA). The current practice location address for Lisa Ann Wadhams is 65 Cooper St, Agawam, MA 01001 and can be reached out via phone at 413-786-8000.

Provider Profile Details

NPI Number
1629260633
Provider Name
Lisa Ann Wadhams
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
65 Cooper St, Agawam, MA 01001
Phone Number
413-786-8000
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 14, 2007
Last Update Date
August 14, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Cooper St
Agawam, MA 01001
City
Agawam
Zip
01001
Phone Number
413-786-8000
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
222 Mountain RD
Ellington, CT 06029
City
Ellington
State
CT
Zip
06029
Phone Number
860-896-0008

License Information

License Number
3071
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. Lisa A Wadhams, COTA?

The NPI number of Mrs. Lisa A Wadhams, COTA is 1629260633. It was assigned on August 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lisa A Wadhams, COTA?

Mrs. Lisa A Wadhams, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 3071.

Where does Mrs. Lisa A Wadhams, COTA practice?

The practice location is 65 Cooper St, Agawam, MA 01001. The office can be reached at 413-786-8000 (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 1629260633 directly on the NPPES registry website.

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