Provider Demographics
NPI:1083114953
Name:SILVA, KARYSSA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KARYSSA
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 DARTMOUTH FARM TRL
Mailing Address - Street 2:
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-1539
Mailing Address - Country:US
Mailing Address - Phone:774-930-2548
Mailing Address - Fax:
Practice Address - Street 1:30 ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-2309
Practice Address - Country:US
Practice Address - Phone:401-438-7210
Practice Address - Fax:401-435-4231
Is Sole Proprietor?:No
Enumeration Date:2018-02-17
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist