Michelle A Provencher, OTR/L
Occupational Therapist in Southwick, Massachusetts
1760014617- Practice location
- 38 Bugbee RD, Southwick, MA 01077-9707
- Phone
- 413-454-4146
- Fax
- —
- Last updated
- February 9, 2020
Michelle Ann Provencher is an Occupational Therapist based in Southwick, MA. Michelle Ann Provencher practices in Southwick, MA and has the professional credentials of OTR/L. The NPI Number for Michelle Ann Provencher is 1760014617 and holds a License No. 5067 (MA). The current practice location address for Michelle Ann Provencher is 38 Bugbee RD, Southwick, MA 01077-9707 and can be reached out via phone at 413-454-4146.
Provider Profile Details
- NPI Number
- 1760014617
- Provider Name
- Michelle Ann Provencher
- Credential
- OTR/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 38 Bugbee RD, Southwick, MA 01077-9707
- Phone Number
- 413-454-4146
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 9, 2020
- Last Update Date
- February 9, 2020
- Certification Date
- February 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 38 Bugbee RD
Southwick, MA 01077-9707 - City
- Southwick
- State
- Massachusetts
- Zip
- 01077-9707
- Phone Number
- 413-454-4146
Provider Business Mailing Address Details
- Address
- 38 Bugbee RD
Southwick, MA 01077-9707 - City
- Southwick
- State
- MA
- Zip
- 01077-9707
- Phone Number
- 413-454-4146
License Information
- License Number
- 5067
- 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 Michelle A Provencher, OTR/L?
The NPI number of Michelle A Provencher, OTR/L is 1760014617. It was assigned on February 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Michelle A Provencher, OTR/L?
Michelle A Provencher, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 5067.
Where does Michelle A Provencher, OTR/L practice?
The practice location is 38 Bugbee RD, Southwick, MA 01077-9707. The office can be reached at 413-454-4146 (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 1760014617 directly on the NPPES registry website.