# OTA KIDS PEDIATRIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Occupational Therapy Associates Wakefield
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811031362
- **Authorized official:** HOLLY BLOKHIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (617) 899-3159

## Contact information

- **Practice address:** 107 AUDUBON RD STE 110, WAKEFIELD, MA 01880-1245
- **Practice address phone:** (617) 899-3159
- **Practice address fax:** (781) 245-5505
- **Mailing address:** 107 AUDUBON RD STE 110, WAKEFIELD, MA 01880-1245
- **Mailing address phone:** (781) 245-4446
- **Mailing address fax:** (781) 245-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | — | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 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