Provider Demographics
NPI:1750189593
Name:NAZE, KATHLEEN (OT)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:NAZE
Suffix:
Gender:
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 VERNON ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-4454
Mailing Address - Country:US
Mailing Address - Phone:774-722-2994
Mailing Address - Fax:
Practice Address - Street 1:51 VERNON ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-4454
Practice Address - Country:US
Practice Address - Phone:774-722-2994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist