Provider Demographics
NPI:1275757593
Name:PAPASODORO, JENNIFER CAMILLE (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:CAMILLE
Last Name:PAPASODORO
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:CAMILLE
Other - Last Name:ARANGIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 GEDICK RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34 GEDICK RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-1036
Practice Address - Country:US
Practice Address - Phone:781-272-8894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3219225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist