# ORTHOPEDIC CARE PHYSICIAN NETWORK

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

## Provider details

- **NPI number:** 1265863476
- **Authorized official:** SIMON CORNELISSEN (OWNER/PROVIDER)
- **Authorized official phone:** (781) 344-3535

## Contact information

- **Practice address:** 15 ROCHE BROS WAY, NORTH EASTON, MA 02356-1000
- **Practice address phone:** (781) 344-3535
- **Mailing address:** 15 ROCHE BROS WAY, NORTH EASTON, MA 02356-1000
- **Mailing address phone:** (781) 344-3535
- **Mailing address fax:** (866) 388-2185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2013
- **Last updated:** 12/13/2013