Provider Demographics
NPI:1356652580
Name:NAJEM, BETTY (COTA)
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:
Last Name:NAJEM
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SHERWOOD DR APT 8
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-3744
Mailing Address - Country:US
Mailing Address - Phone:617-365-4321
Mailing Address - Fax:
Practice Address - Street 1:11 SHERWOOD DR APT 8
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-3744
Practice Address - Country:US
Practice Address - Phone:617-365-4321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2546224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant