Provider Demographics
NPI:1972059731
Name:KINGSBURY, ARIELLE SARAH (OTR)
Entity Type:Individual
Prefix:MRS
First Name:ARIELLE
Middle Name:SARAH
Last Name:KINGSBURY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:ARIELLE
Other - Middle Name:SARAH
Other - Last Name:CARRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:20 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-2533
Mailing Address - Country:US
Mailing Address - Phone:781-576-9344
Mailing Address - Fax:
Practice Address - Street 1:20 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-2533
Practice Address - Country:US
Practice Address - Phone:781-576-9344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist