Provider Demographics
NPI:1528076445
Name:ROBILLARD, MARTHA J (OTRL)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:J
Last Name:ROBILLARD
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:978-840-1900
Mailing Address - Fax:978-840-1263
Practice Address - Street 1:165 MILL ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453
Practice Address - Country:US
Practice Address - Phone:978-840-1900
Practice Address - Fax:508-840-1263
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3267225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
7600617OtherAETNA
OT0066OtherBLUE CROSS
7600617OtherUS HEALTHCARE
042472266OtherONE HEALTH PLAN
43215OtherFALLON COMM HEALTH PLAN
042472266OtherCHAMPUS
0701203OtherWELFARE
2779432OtherCIGNA HEALTH PLAN
785963OtherMVP HEALTH CARE
042472266OtherHEALTHCARE VALUE MGMT
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherTHREE RIVERS
MA0701203Medicaid
670001295OtherRAILROAD MEDICARE
042472266OtherTRICARE
Y68481OtherMEDICARE B
670001295OtherRAILROAD MEDICARE