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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE ANN PROVENCHER, OTR/L

Active Sole Proprietor

MICHELLE ANN PROVENCHER, OTR/L is a Occupational Therapist healthcare provider located in SOUTHWICK, Massachusetts. NPI 1760014617 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SOUTHWICK, MA

Registration Details

NPI Number
1760014617
Provider Type
Individual
Gender
Female
NPI Issued
Feb 9, 2020 (6.4836913202911 yrs)
Last Updated
Feb 9, 2020
License
5067 (MA)
Sole Proprietor
Yes

Practice Information

Address
38 BUGBEE RD
SOUTHWICK, MA, 010779707
Browse MA providers · Browse ZIP 01077
Phone
4134544146
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in SOUTHWICK, MA

Name Credential NPI
MRS. BETH ANN CROWLEY OTR/L 1720311053
DR. LORI VAUGHN OTD, OTR/L 1497283006
MELANIE ANN GUILLEMETTE 1104662030
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.