IndividualActive
James Bazelais, OTA
NPI 1548608920 · Other Technician · Kennett Square, PA
Provider details
- NPI number
- 1548608920
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- OTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- OP007379 (PA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
600 S Broad St
Kennett Square, PA 19348-3346
Phone: (610) 924-4561
Approximate (ZIP-level) locationGet directions
Mailing address
944 E Johnson St
Philadelphia, PA 19138-1065
Registry dates
- Enumerated
- 2013-06-07
- Last updated
- 2013-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.