Provider Demographics
NPI:1982384269
Name:MALIYA, BRIJ (OT, OTD, OTR)
Entity Type:Individual
Prefix:
First Name:BRIJ
Middle Name:
Last Name:MALIYA
Suffix:
Gender:M
Credentials:OT, OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 MIDDLESEX TPKE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3316
Mailing Address - Country:US
Mailing Address - Phone:781-362-4638
Mailing Address - Fax:617-830-9469
Practice Address - Street 1:203 MIDDLESEX TPKE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-3316
Practice Address - Country:US
Practice Address - Phone:781-362-4638
Practice Address - Fax:617-830-9469
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAOT9482225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics