Individual provider · Type 1 NPI

Brenda Lee Provencher, OTR

Occupational Therapist · Auburndale, MA

NPI number 1306960950 Active

Practice location

120 Seminary Ave
Auburndale, MA 02466-2650

Mailing address

77 Bunkerhill Pkwy
West Boylston, MA 01583-2022

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X8920 (MA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1306960950

Brenda Lee Provencher, OTR's National Provider Identifier is 1306960950, issued on Mar 19, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Auburndale, MA. The record was last updated on Jul 8, 2007.