# MOBILE OT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile OT LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730707381
- **Authorized official:** JENNIFER PRATT (OTR/L)
- **Authorized official phone:** (508) 280-5744

## Contact information

- **Practice address:** 10 LORD HAYFORD RD, BUZZARDS BAY, MA 02532-2358
- **Practice address phone:** (508) 280-5744
- **Mailing address:** 10 LORD HAYFORD RD, BUZZARDS BAY, MA 02532-2358
- **Mailing address phone:** (508) 280-5744

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2020
- **Last updated:** 09/15/2020
