Basic Information
| Provider Information | |||||||||
| NPI: | 1255722286 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | FORSLUND | ||||||||
| FirstName: | BARBARA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 CROSS HILL RD | ||||||||
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| City: | FORESTDALE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026441606 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 37 ROUTE 6A | ||||||||
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| City: | SANDWICH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 025631801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088888222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2015 | ||||||||
| LastUpdateDate: | 02/12/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 5122 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.