Aissa Courtney Boduch in Lowell - Developmental Therapist
Aissa Courtney Boduch - NPI 1013198563
Aissa Courtney Boduch is a Developmental Therapist in Lowell, Massachusetts. Aissa Courtney Boduch practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Aissa Courtney Boduch is 1013198563. The last update date is 2007-11-26.
Aissa Courtney Boduch's current location address is 126 Phoenix Ave, Lowell, Massachusetts. You can contact this provider via phone number 9784538331. The mailing address for Aissa Courtney Boduch is 126 Phoenix Ave, Lowell, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Aissa Courtney Boduch |
|---|---|
| Address | 126 Phoenix Ave, Lowell, Massachusetts |
| Phone Number | 9784538331 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1013198563 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2007-11-26 |
Provider Mailing Address Detail
| Address | 126 Phoenix Ave |
|---|---|
| City | Lowell |
| State | Massachusetts (MA) |
| Post Code | 18524931 |
| Phone Number | 9784538331 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Aissa Courtney Boduch?
The Aissa Courtney Boduch has been issued the NPI (National Provider Identifier) 1013198563 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Aissa Courtney Boduch?
The Aissa Courtney Boduch is physically situated at 126 Phoenix Ave, in the city of Lowell, state of MA, with the postal code 18524931.
What is Aissa Courtney Boduch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Aissa Courtney Boduch is Developmental Therapist, and the taxonomy code that classifies this field of practice is 222Q00000X.
On what date did the Aissa Courtney Boduch receive its 1013198563 assignment from the Centers for Medicare & Medicaid Services?
The Aissa Courtney Boduch was assigned its 1013198563 by the Centers for Medicare & Medicaid Services on 2007-11-26.
When was the information pertaining to Aissa Courtney Boduch most recently updated or revised?
The details related to Aissa Courtney Boduch, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-26.
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