Provider Demographics
NPI:1235829219
Name:STRENGTH ON MY SIDE, INC.
Entity Type:Organization
Organization Name:STRENGTH ON MY SIDE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SARINA
Authorized Official - Middle Name:SAMANTHA
Authorized Official - Last Name:USSACH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:413-210-6719
Mailing Address - Street 1:20 NEWMAN AVE UNIT 3206
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-3607
Mailing Address - Country:US
Mailing Address - Phone:413-210-6719
Mailing Address - Fax:
Practice Address - Street 1:20 NEWMAN AVE UNIT 3206
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:RI
Practice Address - Zip Code:02916-3607
Practice Address - Country:US
Practice Address - Phone:413-210-6719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty