Provider Demographics
NPI:1982977526
Name:NAVIA, REGINA A (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:A
Last Name:NAVIA
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:A
Other - Last Name:DIBELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:1 POST OFFICE SQ
Mailing Address - Street 2:STE 3600
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-2106
Mailing Address - Country:US
Mailing Address - Phone:866-590-0011
Mailing Address - Fax:
Practice Address - Street 1:1 POST OFFICE SQ
Practice Address - Street 2:STE 3600
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-2106
Practice Address - Country:US
Practice Address - Phone:866-590-0011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1693225XL0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision