Doctor Name: | MS. MARIE GERTRUDE CHALIFOUR |
NPI Number: | 1801273065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 8615 |
Business Practice Address: | 340 Montague City Rd Turners Falls, MA - 013761830 |
Business Phone Number: | 4137743111 |
Business Fax Number: | 4137747049 |
Mailing Address: | 340 Montague Rd, SUNDERLAND |
State: | MA |
Postal Code: | 013759313 |
Phone Number: | 4137743111 |
Fax Number: | 4137747049 |
NPI Enumeration Date: | 04/27/2015 |
NPI Last Update Date: | 04/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XN1300X |
License Number: | 8615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Neurorehabilitation |
Taxonomy Definition: |