Provider Demographics
NPI:1386055150
Name:FOLEY, RICHARD MICHAEL (OTR/L)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:MICHAEL
Last Name:FOLEY
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 HAYDENVILLE RD.
Mailing Address - Street 2:LINDA MANOR EXTENDED CARE FACILITY REHAB DEPARTMENT
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053
Mailing Address - Country:US
Mailing Address - Phone:413-586-7700
Mailing Address - Fax:
Practice Address - Street 1:349 HAYDENVILLE RD
Practice Address - Street 2:LINDA MANOR EXTENDED CARE FACILITY
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053
Practice Address - Country:US
Practice Address - Phone:413-586-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist