Provider Demographics
NPI:1902646177
Name:DUBSKY, JUSTINA CHELSEA (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:JUSTINA
Middle Name:CHELSEA
Last Name:DUBSKY
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:STURBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01566-1112
Mailing Address - Country:US
Mailing Address - Phone:508-353-2395
Mailing Address - Fax:
Practice Address - Street 1:93 STAFFORD ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-1459
Practice Address - Country:US
Practice Address - Phone:508-859-7207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-27
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAOTL11952225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist