Provider Demographics
NPI:1598057432
Name:FILA, LORIN ANN (COTA)
Entity Type:Individual
Prefix:MRS
First Name:LORIN
Middle Name:ANN
Last Name:FILA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MS
Other - First Name:LORIN
Other - Middle Name:ANN
Other - Last Name:MASOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:81 SENATOR AVE
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-2152
Mailing Address - Country:US
Mailing Address - Phone:413-204-1563
Mailing Address - Fax:
Practice Address - Street 1:81 SENATOR AVE
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-2152
Practice Address - Country:US
Practice Address - Phone:413-204-1563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1456224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant