Provider Demographics
NPI:1457661837
Name:BERTRAND, ESTHER C (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:C
Last Name:BERTRAND
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:ESTHER
Other - Middle Name:C
Other - Last Name:FERZOCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:143 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-1023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:143 COUNTRY LN
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-1023
Practice Address - Country:US
Practice Address - Phone:781-329-3634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5304225XP0200X
MEOT1062225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist