IndividualActive
Chamandre Fortunat
NPI 1740977743 · Environmental Modification Occupational Therapy Assistant · West Bridgewater, MA
Provider details
- NPI number
- 1740977743
- Entity type
- Individual
- Primary specialty
- Environmental Modification Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4584 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
282 Crescent St
West Bridgewater, MA 02379-1424
Phone: (508) 315-2607
Approximate (ZIP-level) locationGet directions
Mailing address
282 Crescent St
West Bridgewater, MA 02379-1424
Registry dates
- Enumerated
- 2023-04-19
- Last updated
- 2023-04-19
- Certified
- 2023-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.