Organization
SOUTH EAST CENTER FOR OT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA YAUCH-CADDEN MS CCC SLP (PRESIDENT)
(508) 999-4345
Entity
Organization
Contact information
Practice address
52 BRIGHAM STREET, SUITE 6, NEW BEDFORD, MA 02740
(508) 999-4345
(508) 717-6258
Mailing address
52 BRIGHAM STREET, SUITE 6, NEW BEDFORD, MA 02740
(508) 999-4345
(508) 717-6258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5579
MA
225X00000X
Occupational Therapist
710
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030566
BMC
MA
01
—
2485439
UNITED HEALTH
MA
01
—
605702
TUFTS
MA
01
—
AA22405
HARVARD PILGRIM
MA
Enumeration date
07/26/2006
Last updated
08/22/2020
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