Provider Demographics
NPI:1811573397
Name:SERAFIN, SYLVIA MAGDELENA I (OTR)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:MAGDELENA
Last Name:SERAFIN
Suffix:I
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 MOUNT HOPE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-4209
Mailing Address - Country:US
Mailing Address - Phone:774-254-5789
Mailing Address - Fax:
Practice Address - Street 1:1 DAWN HL
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-3903
Practice Address - Country:US
Practice Address - Phone:401-253-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT01539225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist