Provider Demographics
NPI:1285881672
Name:KROLL, FELICIA DAWN (MS, OTR/L)
Entity type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:DAWN
Last Name:KROLL
Suffix:
Gender:
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:DAWN
Other - Last Name:RIZZOLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:2 CRANE PARK DR STE C
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-1741
Mailing Address - Country:US
Mailing Address - Phone:413-264-0330
Mailing Address - Fax:
Practice Address - Street 1:2 CRANE PARK DR STE C
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1741
Practice Address - Country:US
Practice Address - Phone:413-264-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003454225XP0200X
MA9609225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics