# WELLESLEY PEDIATRIC OCCUPATIONAL THERAPY

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

## Provider details

- **NPI number:** 1760826440
- **Authorized official:** JACLYN SANSONE M.ED., OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (413) 478-7019

## Contact information

- **Practice address:** 65 WALNUT ST, SUITE 302, WELLESLEY, MA 02481-2118
- **Practice address phone:** (413) 478-7019
- **Mailing address:** 65 WALNUT ST, SUITE 302, WELLESLEY, MA 02481-2118
- **Mailing address phone:** (413) 478-7019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 8127 | MA | Yes |

## Other

- **Enumeration date:** 04/24/2013
- **Last updated:** 04/24/2013