Cassidy Anne Debettencourt, OTR/L
Occupational Therapist in Swampscott, MA. Individual provider (NPI-1).
NPI number1982149035
StatusActive
Last updated in NPPESApr 12, 2019
Details
- NPI
- 1982149035
- Entity type
- Individual (NPI-1)
- Name
- Cassidy Anne Debettencourt
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2016
- Last updated
- Apr 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 12153 | MA | Yes |
Practice location
413 Essex StSwampscott, MA 01907-1248
Phone 978-239-6281
Mailing address
413 Essex StSwampscott, MA 01907-1248
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