Basic Information
| Provider Information | |||||||||
| NPI: | 1598480360 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | YAMASAKI | ||||||||
| FirstName: | NOZOMI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 35 FAY ST UNIT E-103 | ||||||||
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| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021184319 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3133035341 | ||||||||
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| Practice Location | |||||||||
| Address1: | 500 CUMMINGS CTR STE 3850 | ||||||||
| Address2: | |||||||||
| City: | BEVERLY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019156509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9782320332 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2022 | ||||||||
| LastUpdateDate: | 10/06/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 13837 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.