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Douglas A. Thom Clinic, Inc.
Developmental Disabilities Clinic/Center in Lowell, Massachusetts
NPI 1396771820

Douglas A. Thom Clinic, Inc. is a Developmental Disabilities Clinic/Center based in Natick, MA and is specialized in Developmental Disabilities. Douglas A. Thom Clinic, Inc. practices in Lowell, MA. The NPI Number for Douglas A. Thom Clinic, Inc. is 1396771820 and holds a License No. 008838 (Massachusetts).

The current practice location address for Douglas A. Thom Clinic, Inc. is 126 Phoenix Ave, Lowell, MA and can be reached out via phone at 978-453-8331 and via fax at 978-453-9254.

Location: 126 Phoenix Ave, Lowell, MA, 01760-3758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396771820
Provider Name
Douglas A. Thom Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
126 Phoenix Ave, Lowell, MA, 01760-3758
Phone Number
978-453-8331
Fax Number
978-453-9254
Provider Enumeration Date
06/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1803301 05 MA
1802097 05 MA
1887289 05 MA
1887271 05 MA
1803131 05 MA
1800353 05 MA
1800574 05 MA
1802976 05 MA
institution
Provider Business Practice Location Address Details
Address
126 Phoenix Ave
City
Lowell
State
Massachusetts
Zip
01852-4931
Phone Number
978-453-8331
Fax Number
978-453-9254
person
Provider Business Mailing Address Details
Address
126 Phoenix Ave
City
Lowell
State
Massachusetts
Zip
01852-4931
Phone Number
978-453-8331
Fax Number
978-453-9254
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
008838 (Massachusetts)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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