NPI 1063538361

Kenneth D Pavao, OTA

Practitioner Occupational Therapy Assistant New Bedford, MA

Practice location

Address: 863 Hathaway Rd, New Bedford, MA 02740-1916
Phone: (508) 996-6763
Mailing address: 17 Adirondack Ln, Westport, MA 02790-3311

Registered specialties (2)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 3001 (MA)

Other Occupational Therapy Assistant providers in Massachusetts →

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 00376 (RI)

Registry record

NPI: 1063538361
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.