Organization
THE VILLAGE-CHILD & FAMILY DEVELOPMENT, INC.
Active
Organization
THE VILLAGE-CHILD & FAMILY DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA ADELIA CLARK MS, OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(781) 269-2323
Entity
Organization
Contact information
Practice address
25 ADAMS ST, SUITE 104, BRAINTREE, MA 02184-1911
(781) 269-2323
Mailing address
28 SHADE ST, RANDOLPH, MA 02368-1769
(781) 269-2323
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
11745
MA
225XP0200X
Pediatric Occupational Therapist
Primary
6919
MA
225XP0200X
Pediatric Occupational Therapist
9522
MA
235Z00000X
Speech-Language Pathologist
6606
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093137A
—
MA
Enumeration date
09/12/2011
Last updated
10/02/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up