Provider Demographics
NPI:1255416434
Name:BARRETT FAMILY WELLNESS CENTER INC
Entity type:Organization
Organization Name:BARRETT FAMILY WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:508-898-2688
Mailing Address - Street 1:104 HARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-5248
Mailing Address - Country:US
Mailing Address - Phone:508-898-2688
Mailing Address - Fax:508-319-3200
Practice Address - Street 1:107 OTIS ST
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-2459
Practice Address - Country:US
Practice Address - Phone:508-898-2688
Practice Address - Fax:508-319-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty