Provider Demographics
NPI:1083856397
Name:UMASSMEMORIAL
Entity Type:Organization
Organization Name:UMASSMEMORIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAND THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/CHT
Authorized Official - Phone:508-334-5902
Mailing Address - Street 1:281 LINCOLN ST
Mailing Address - Street 2:HAND THERAPY/4TH FLOOR
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2138
Mailing Address - Country:US
Mailing Address - Phone:508-334-2000
Mailing Address - Fax:508-334-5922
Practice Address - Street 1:281 LINCOLN ST
Practice Address - Street 2:HAND THERAPY/4TH FLOOR
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2138
Practice Address - Country:US
Practice Address - Phone:508-334-2000
Practice Address - Fax:508-334-5922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA742282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital