Provider Demographics
NPI:1912241472
Name:PEATFIELD, JOANN (OTR)
Entity Type:Individual
Prefix:MS
First Name:JOANN
Middle Name:
Last Name:PEATFIELD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CEDAR ST
Mailing Address - Street 2:UNIT 5
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-1800
Mailing Address - Country:US
Mailing Address - Phone:978-397-7001
Mailing Address - Fax:
Practice Address - Street 1:25 CEDAR ST
Practice Address - Street 2:UNIT 5
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-1800
Practice Address - Country:US
Practice Address - Phone:978-397-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA318225X00000X
NH2127225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist