Thom Mystic Valley Early Intervention

Organization Early Intervention Provider Agency · NPI 1710159116

Thom Mystic Valley Early Intervention is an Early Intervention Provider Agency in Wakefield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in: MA
In the registry since: 2008

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Practice location Address checks out

11 Columbia Rd
Wakefield, MA 01880
Phone: (978) 302-0802

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary)	Taxonomy 252Y00000X · Licence 8130 (MA)

Record details

NPI number	1710159116
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Patricia McCarthy — Occupational Therapist · (978) 302-0802
NPI enumerated	March 26, 2008
Last updated in NPPES	March 26, 2008
Mailing address	11 Columbia Rd, Unit 4, Wakefield, MA 01880-3339