Individual ProviderKevin PavaoOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address400 W Cummings Park, Woburn, MA 01801-6519(781) 933-8800(508) 672-1126PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Pavao 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 ID1699933762Provider TypeIndividualFull NamePavao, KevinCredentialCOTAGenderMaleSole ProprietorYesEnumeration Date5/27/2008Last Updated5/27/2008Contact InformationPractice LocationPractice Address400 W Cummings Park, Woburn, MA 01801-6519Phone(781) 933-8800FaxUnlisted FaxMailing LocationMailing Address75 Wood St, Somerset, MA 02726-5227Phone(508) 672-1126FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode224Z00000XPrimaryDescriptionOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1616Massachusetts