# BRAIN FIT ACADEMY, INC

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

## Provider details

- **NPI number:** 1568851368
- **Authorized official:** MRS. PAMELA MARIE FORMOSA OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (508) 478-5164

## Contact information

- **Practice address:** 25 WESTCOTT RD, HOPEDALE, MA 01747-1824
- **Practice address phone:** (508) 478-1031
- **Mailing address:** 25 WESTCOTT RD, HOPEDALE, MA 01747-1824
- **Mailing address phone:** (508) 478-1031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 2461 | MA | Yes |

## Other

- **Enumeration date:** 01/16/2015
- **Last updated:** 01/16/2015
