IndividualActive
Amanda Borges, COTA/L
NPI 1699171827 · Specialist · Brockton, MA
Provider details
- NPI number
- 1699171827
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3863 (MA)
Specialties & taxonomies
Other Service Providers
Practice location
801 Pleasant St
Brockton, MA 02301-3052
Phone: (508) 586-5977
Approximate (ZIP-level) locationGet directions
Mailing address
801 Pleasant St
Brockton, MA 02301-3052
Registry dates
- Enumerated
- 2014-11-17
- Last updated
- 2014-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.