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Contact Information

THOM MYSTIC VALLEY EARLY INTERVENTION
11 COLUMBIA RD
WAKEFIELD, MA01880
 Phone: 978-302-0802
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for THOM MYSTIC VALLEY EARLY INTERVENTION

NPI # 1710159116
LBN Legal business name THOM MYSTIC VALLEY EARLY INTERVENTION
Authorized official PATRICIA MCCARTHY - (OCCUPATIONAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2008
Last updated 03/26/2008 - About 18 years ago
Identifiers
MA License # 8130
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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