Provider Demographics
NPI:1518568252
Name:BC REDESIGN LLC
Entity Type:Organization
Organization Name:BC REDESIGN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAPO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:413-768-0563
Mailing Address - Street 1:21 MOHAWK TRL # 124
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3206
Mailing Address - Country:US
Mailing Address - Phone:413-768-0563
Mailing Address - Fax:
Practice Address - Street 1:59 MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3808
Practice Address - Country:US
Practice Address - Phone:413-768-0563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-07
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty