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Organization
OTA KIDS PEDIATRIC THERAPY
Active
Organization
OTA KIDS PEDIATRIC THERAPY
Active
Other names
Occupational Therapy Associates Wakefield
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY BLOKHIN (EXECUTIVE DIRECTOR)
(617) 899-3159
Entity
Organization
Contact information
Practice address
107 AUDUBON RD STE 110, WAKEFIELD, MA 01880-1245
(617) 899-3159
(781) 245-5505
Mailing address
107 AUDUBON RD STE 110, WAKEFIELD, MA 01880-1245
(781) 245-4446
(781) 245-5505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/17/2007
Last updated
09/17/2026
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