Aissa C Boduch
Developmental Therapist in Lowell, Massachusetts
1013198563- Practice location
- 126 Phoenix Ave, Bldg. 2, Lowell, MA 01852-4931
- Phone
- 978-453-8331
- Fax
- —
- Last updated
- November 26, 2007
Aissa Courtney Boduch is a Developmental Therapist based in Lowell, MA. Aissa Courtney Boduch practices in Lowell, MA. The NPI Number for Aissa Courtney Boduch is 1013198563. The current practice location address for Aissa Courtney Boduch is 126 Phoenix Ave, Bldg. 2, Lowell, MA 01852-4931 and can be reached out via phone at 978-453-8331.
Provider Profile Details
- NPI Number
- 1013198563
- Provider Name
- Aissa Courtney Boduch
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 126 Phoenix Ave, Bldg. 2, Lowell, MA 01852-4931
- Phone Number
- 978-453-8331
- Primary Taxonomy
- Developmental Therapist · 222Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 26, 2007
- Last Update Date
- November 26, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 126 Phoenix Ave
Bldg. 2
Lowell, MA 01852-4931 - City
- Lowell
- State
- Massachusetts
- Zip
- 01852-4931
- Phone Number
- 978-453-8331
Provider Business Mailing Address Details
- Address
- 126 Phoenix Ave
Bldg. 2
Lowell, MA 01852-4931 - City
- Lowell
- State
- MA
- Zip
- 01852-4931
License Information
- Taxonomy
- Developmental Therapist · 222Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Developmental Therapists near Lowell, MA
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Frequently Asked Questions
What is the NPI number of Aissa C Boduch?
The NPI number of Aissa C Boduch is 1013198563. It was assigned on November 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Aissa C Boduch?
Aissa C Boduch is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).
Where does Aissa C Boduch practice?
The practice location is 126 Phoenix Ave, Bldg. 2, Lowell, MA 01852-4931. The office can be reached at 978-453-8331 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013198563 directly on the NPPES registry website.