Provider Demographics
NPI:1922178193
Name:WALSH, MAURA (OTR, CHT)
Entity Type:Individual
Prefix:MS
First Name:MAURA
Middle Name:
Last Name:WALSH
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95A PARMENTER RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3044
Mailing Address - Country:US
Mailing Address - Phone:508-877-8042
Mailing Address - Fax:508-877-8042
Practice Address - Street 1:95A PARMENTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3044
Practice Address - Country:US
Practice Address - Phone:508-877-8042
Practice Address - Fax:508-877-8042
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6174225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist