Provider Demographics
NPI:1124477856
Name:MICHALIK, EMILY (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MICHALIK
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:FICARRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:1 CLOCKTOWER PL
Mailing Address - Street 2:APT 421
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3374
Mailing Address - Country:US
Mailing Address - Phone:978-551-5335
Mailing Address - Fax:
Practice Address - Street 1:1 CLOCKTOWER PL
Practice Address - Street 2:APT 421
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3374
Practice Address - Country:US
Practice Address - Phone:978-551-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2537225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist