# THE VILLAGE-CHILD & FAMILY DEVELOPMENT, INC

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

## Provider details

- **NPI number:** 1396097309
- **Authorized official:** MS. CASSANDRA A CLARK MS, OTR/L (OWNER)
- **Authorized official phone:** (781) 269-2323

## Contact information

- **Practice address:** 25 ADAMS ST, BRAINTREE, MA 02184-1911
- **Practice address phone:** (781) 269-2323
- **Mailing address:** 28 SHADE ST, RANDOLPH, MA 02368-1769
- **Mailing address phone:** (781) 269-2323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | 11745 | MA | Yes |
| 225XP0200X | Pediatric Occupational Therapist | 19782 | MA | — |
| 225XP0200X | Pediatric Occupational Therapist | 6919 | MA | — |

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 10/15/2012
