Mass. Department of Developmental Services

NPI #1629389010 in Danvers, Massachusetts

Provider Information

NPI Number: 1629389010
Entity Type: Organization
Organization Name: Mass. Department of Developmental Services
Subpart: Yes (part of a larger organization)
Parent Organization: COMM. OF MASS, DEPARTMENT OF DEVELOPMENTAL SERVICES
Primary Specialty: Physical Therapist
Enumeration Date: Jun 30, 2010
Last Updated: Jun 30, 2010

Practice Location

Address: 450 MAPLE STREET
Address 2: KELLEY ASSISTIVE TECHNOLOGY CENTER, HOGAN REGIONAL CENT
City: Danvers
State: Massachusetts
ZIP Code: 01923-4009
Phone: (978) 774-5000

Authorized Official

Name: MS. ELIN HOWE
Title: COMMISSIONER, MASS, DEPARTMENT OF D
Phone: (617) 624-7723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Audiologist	231H00000X
Specialist/Technologist	235500000X
Occupational Therapy Assistant	224Z00000X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapy Assistant	225200000X
Rehabilitation Practitioner	225400000X
Rehabilitation Counselor	225C00000X
Rehabilitation Counselor - Assistive Technology Practitioner — Assistive Technology Practitioner	225CA2400X
Rehabilitation Counselor - Assistive Technology Supplier — Assistive Technology Supplier	225CA2500X
Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant	2355S0801X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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