Provider Demographics
NPI:1407050792
Name:PANASCI, CAROLYN ESTEY (OTR)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ESTEY
Last Name:PANASCI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:MARY
Other - Last Name:ESTEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:37 BREWSTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-8409
Mailing Address - Country:US
Mailing Address - Phone:781-848-5532
Mailing Address - Fax:
Practice Address - Street 1:211 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-7833
Practice Address - Country:US
Practice Address - Phone:617-479-0837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1603225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist