Whalio Doctors

NPI 1720625262

Jason Demoranville

Practitioner Occupational Therapy Assistant Fairhaven, MA

Practice location

Address
62 Center St, Fairhaven, MA 02719-3823
Phone
(508) 992-6278
Mailing address
138 Main St APT 7, Fairhaven, MA 02719-3139

Registered specialties (2)

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 3468 (MA)
Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7603 (MA)

Registry record

NPI
1720625262
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Dec 2019
Record last updated
3 Dec 2019

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.