Provider Demographics
NPI:1922550615
Name:ACCESSIBLE HOME MODIFICATIONS AND THERAPY SOLUTIONS LLC
Entity Type:Organization
Organization Name:ACCESSIBLE HOME MODIFICATIONS AND THERAPY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:DURKIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:OT
Authorized Official - Phone:617-981-9396
Mailing Address - Street 1:49 GOLDEN RUN RD
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01740-1029
Mailing Address - Country:US
Mailing Address - Phone:617-981-9396
Mailing Address - Fax:
Practice Address - Street 1:49 GOLDEN RUN RD
Practice Address - Street 2:
Practice Address - City:BOLTON
Practice Address - State:MA
Practice Address - Zip Code:01740-1029
Practice Address - Country:US
Practice Address - Phone:617-981-9396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8883225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty