Provider Demographics
NPI:1700365566
Name:VIVEIROS, PAIGE ELIZABETH (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:PAIGE
Middle Name:ELIZABETH
Last Name:VIVEIROS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 HARMON AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726-4600
Mailing Address - Country:US
Mailing Address - Phone:508-642-9728
Mailing Address - Fax:
Practice Address - Street 1:2446 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-0272
Practice Address - Country:US
Practice Address - Phone:508-642-9728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-11
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12269225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist