# BROAD REACH OF CHATHAM INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Broad Reach Outpatient Rehab - OT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619178431
- **Authorized official:** MR. WILLIAM BOGDANOVICH CNHA (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (508) 945-4611

## Contact information

- **Practice address:** 390 ORLEANS RD, NORTH CHATHAM, MA 02650-1154
- **Practice address phone:** (508) 945-4611
- **Practice address fax:** (508) 945-2245
- **Mailing address:** 390 ORLEANS RD, NORTH CHATHAM, MA 02650-1154
- **Mailing address phone:** (508) 945-4611
- **Mailing address fax:** (508) 945-2245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 0884 | MA | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 08/22/2020