Individual ProviderEddy E EderOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address400 W Cummings Park Ste 3950, Woburn, MA 01801-6538(845) 313-9477(845) 616-9894PECOS EnrollmentBased on the most recent information from CMS, provider Eddy E Eder does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1508070954Provider TypeIndividualFull NameEder, Eddy ECredentialCOTAGenderMaleSole ProprietorNoEnumeration Date5/9/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address400 W Cummings Park Ste 3950, Woburn, MA 01801-6538Phone(845) 313-9477FaxUnlisted FaxMailing LocationMailing Address33 Main St # B, Highland, NY 12528-1407Phone(845) 616-9894FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode224Z00000XPrimaryDescriptionOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense006553-1New York