Provider Demographics
NPI:1831360437
Name:RAPOSO, VIRGINIA ANN
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:ANN
Last Name:RAPOSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GINNY
Other - Middle Name:ANN
Other - Last Name:RAPOSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSOTR/L
Mailing Address - Street 1:24 WEST ST
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-4208
Mailing Address - Country:US
Mailing Address - Phone:978-433-2609
Mailing Address - Fax:
Practice Address - Street 1:24 WEST ST
Practice Address - Street 2:
Practice Address - City:PEPPERELL
Practice Address - State:MA
Practice Address - Zip Code:01463-4208
Practice Address - Country:US
Practice Address - Phone:978-433-2609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-22
Last Update Date:2008-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7786225X00000X, 225XR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility