Provider Demographics
NPI:1538273297
Name:BUGBEE, PAMELA HIBBARD (OTRL)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:HIBBARD
Last Name:BUGBEE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5 NEPONSET ST FL ST2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-856-9510
Mailing Address - Fax:508-853-1907
Practice Address - Street 1:50 GOLD STAR BLVD.
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606
Practice Address - Country:US
Practice Address - Phone:508-856-9510
Practice Address - Fax:508-853-1907
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2490225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
042477266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherHEALTHCARE VALUE MANAGEME
0701335OtherWELFARE MEDICAID
2779432OtherCIGNA HEALTH PLAN
787398OtherMVP HEALTH CARE
AA4053OtherHARVARD PILGRIM HEALTHCAR
042472266OtherTHREE RIVERS
7551642OtherAETNA US HEALTHCARE
42392OtherFALLON COMMUNITY HEALTH
OT0068OtherBLUE CROSS
MA0701335Medicaid
7551642OtherAETNA US HEALTHCARE
787398OtherMVP HEALTH CARE
AA4053OtherHARVARD PILGRIM HEALTHCAR