Provider Demographics
NPI:1083977748
Name:MILLS, NANCY MARIE (OT)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:MARIE
Last Name:MILLS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SUNCOOK DR
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-1467
Mailing Address - Country:US
Mailing Address - Phone:979-771-9312
Mailing Address - Fax:
Practice Address - Street 1:1 SUNCOOK DR
Practice Address - Street 2:
Practice Address - City:PEPPERELL
Practice Address - State:MA
Practice Address - Zip Code:01463-1467
Practice Address - Country:US
Practice Address - Phone:979-771-9312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7748225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist