Provider Demographics
NPI:1851572382
Name:FLYNN-SCHOFIELD, NATALIE S (OTR/L)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:S
Last Name:FLYNN-SCHOFIELD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:S
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:555 AMORY ST
Mailing Address - Street 2:THOM BOSTON METRO EARLY INTERVENTION PROGRAM, SUITE 5
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2652
Mailing Address - Country:US
Mailing Address - Phone:617-383-6522
Mailing Address - Fax:
Practice Address - Street 1:555 AMORY ST
Practice Address - Street 2:THOM BOSTON METRO EARLY INTERVENTION PROGRAM, SUITE 5
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-2652
Practice Address - Country:US
Practice Address - Phone:617-383-6522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6745225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist