Active NPIIndividual provider

Miss Marissa E Gonzalez, OTR/L

Occupational Therapist, Physical Rehabilitation in East Boston, Massachusetts

NPI Number1972033033
Practice location
111 Orient Ave, East Boston, MA 02128-1006
Fax
—
Last updated
June 12, 2017

Marissa Emily Gonzalez is an Occupational Therapist, Physical Rehabilitation based in East Boston, MA. Marissa Emily Gonzalez practices in East Boston, MA and has the professional credentials of OTR/L. The NPI Number for Marissa Emily Gonzalez is 1972033033 and holds a License No. 11795 (MA). The current practice location address for Marissa Emily Gonzalez is 111 Orient Ave, East Boston, MA 02128-1006 and can be reached out via phone at 617-569-2100.

Provider Profile Details

NPI Number
1972033033
Provider Name
Marissa Emily Gonzalez
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
111 Orient Ave, East Boston, MA 02128-1006
Phone Number
617-569-2100
Sole Proprietor
No
Provider Enumeration Date
June 12, 2017
Last Update Date
June 12, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Orient Ave
East Boston, MA 02128-1006
Zip
02128-1006
Phone Number
617-569-2100
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
19 Cumner Ave
Melrose, MA 02176-5016
City
Melrose
State
MA
Zip
02176-5016

License Information

License Number
11795
License State
MA
Taxonomy
Occupational Therapist, Physical Rehabilitation · 225XP0019X · 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 Miss Marissa E Gonzalez, OTR/L?

The NPI number of Miss Marissa E Gonzalez, OTR/L is 1972033033. It was assigned on June 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Miss Marissa E Gonzalez, OTR/L?

Miss Marissa E Gonzalez, OTR/L is registered under the primary taxonomy Occupational Therapist, Physical Rehabilitation (code 225XP0019X), licensed in MA under license number 11795.

Where does Miss Marissa E Gonzalez, OTR/L practice?

The practice location is 111 Orient Ave, East Boston, MA 02128-1006. The office can be reached at 617-569-2100 (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 1972033033 directly on the NPPES registry website.

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