Provider Demographics
NPI:1053111690
Name:KANTER, EMILY (MSOT, OTR/L)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:KANTER
Suffix:
Gender:
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 HOLY FAMILY RD APT 314
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2770
Mailing Address - Country:US
Mailing Address - Phone:484-849-1647
Mailing Address - Fax:
Practice Address - Street 1:222 STATE ST
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:MA
Practice Address - Zip Code:01056-3437
Practice Address - Country:US
Practice Address - Phone:413-213-3916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15557225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist