# IRONSTONE FARM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174977854
- **Authorized official:** MS. SHAINA MARIE PILZ COTA/L (CERTIFIED OCCUPATIONAL THERAPY ASST)
- **Authorized official phone:** (978) 423-5181

## Contact information

- **Practice address:** 450 LOWELL ST, ANDOVER, MA 01810-5305
- **Practice address phone:** (978) 475-4056
- **Mailing address:** 7 ELLIS ST, METHUEN, MA 01844-6017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 3535 | MA | Yes |

## Other

- **Enumeration date:** 04/19/2016
- **Last updated:** 04/19/2016