# OCCUPATIONAL THERAPY ASSOCIATES - WATERTOWN, INC.

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

## Provider details

- **NPI number:** 1750429072
- **Authorized official:** GORDY ROGERS (PRESIDENT)
- **Authorized official phone:** (917) 628-7525

## Contact information

- **Practice address:** 74 BRIDGE STREET, NEWTON, MA 02458
- **Practice address phone:** (617) 969-4410
- **Practice address fax:** (617) 923-0468
- **Mailing address:** 74 BRIDGE STREET, NEWTON, MA 02458
- **Mailing address phone:** (617) 969-4410
- **Mailing address fax:** (617) 923-0468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | MA | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 02/22/2024