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Wade Roach, COTA/L

NPI 1588034383 · on the registry since 2015

Practice

Address: 888 N Main St
5085876566
Brockton, MA 02301
Phone: (508) 587-6566
Organisation at this address: Guardian Op 1 Llc
Guardian Center, Inc
Guardian Center Opco Llc
Guardian Snf Operations Bhc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: Occupational Therapy Assistant
224Z00000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts