Provider Demographics
NPI:1942925268
Name:BUXAMUSA, LOUBAINA (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:LOUBAINA
Middle Name:
Last Name:BUXAMUSA
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 TOMAHAWK DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-2435
Mailing Address - Country:US
Mailing Address - Phone:617-462-3751
Mailing Address - Fax:
Practice Address - Street 1:17 TOMAHAWK DR
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-2435
Practice Address - Country:US
Practice Address - Phone:617-462-3751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist