Provider Demographics
NPI:1932785458
Name:CALLERY, ABIGAIL ANNE (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ANNE
Last Name:CALLERY
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 ROBERT ST APT 3
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3748
Mailing Address - Country:US
Mailing Address - Phone:203-788-1169
Mailing Address - Fax:
Practice Address - Street 1:911 SHIRLEY ST UNIT 1
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-2517
Practice Address - Country:US
Practice Address - Phone:857-816-9078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13887225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics