Provider Demographics
NPI:1639389778
Name:PEDIATRIC THERAPY UNLIMITED
Entity Type:Organization
Organization Name:PEDIATRIC THERAPY UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:GUIMONT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:978-808-0694
Mailing Address - Street 1:51 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-1815
Mailing Address - Country:US
Mailing Address - Phone:781-334-4412
Mailing Address - Fax:
Practice Address - Street 1:51 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-1815
Practice Address - Country:US
Practice Address - Phone:781-334-4412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8065225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty