Provider Demographics
NPI:1235314758
Name:SIMMONS, ROBIN L
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:L
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:L
Other - Last Name:SIMMONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTA
Mailing Address - Street 1:46 PAIGE FARM RD
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-5718
Mailing Address - Country:US
Mailing Address - Phone:857-891-6165
Mailing Address - Fax:
Practice Address - Street 1:46 PAIGE FARM RD
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-5718
Practice Address - Country:US
Practice Address - Phone:857-891-6165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1389224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant