Provider Demographics
NPI:1023346301
Name:PARSONS, KATLYN A (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KATLYN
Middle Name:A
Last Name:PARSONS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1430
Mailing Address - Country:US
Mailing Address - Phone:978-777-1122
Mailing Address - Fax:
Practice Address - Street 1:27 GARDEN ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1430
Practice Address - Country:US
Practice Address - Phone:978-777-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015887-1225X00000X
MA11463225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist