Provider Demographics
NPI:1487859526
Name:MERCIER, THOMAS OLOF (OT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:OLOF
Last Name:MERCIER
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PINE RD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-3729
Mailing Address - Country:US
Mailing Address - Phone:617-901-0340
Mailing Address - Fax:
Practice Address - Street 1:15 PINE RD
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-3729
Practice Address - Country:US
Practice Address - Phone:617-901-0340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA191978225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist