Provider Demographics
NPI:1699926733
Name:CARRINGTON, JODI MARIE (MSOTR/L)
Entity type:Individual
Prefix:MS
First Name:JODI
Middle Name:MARIE
Last Name:CARRINGTON
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 PRINCE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-2429
Mailing Address - Country:US
Mailing Address - Phone:603-793-1266
Mailing Address - Fax:
Practice Address - Street 1:75 PRINCE AVE
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-2429
Practice Address - Country:US
Practice Address - Phone:603-793-1266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9167225X00000X
NH1810225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist