Provider Demographics
NPI:1629327127
Name:SILVEIRA, DEBORAH A (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:A
Last Name:SILVEIRA
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 UNION ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-3580
Mailing Address - Country:US
Mailing Address - Phone:413-664-9345
Mailing Address - Fax:
Practice Address - Street 1:26 UNION ST
Practice Address - Street 2:SUITE 1
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-3580
Practice Address - Country:US
Practice Address - Phone:413-664-9345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1869224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant