-- THEPDARA BORIBOUN -- OTRL
Individual Provider (NPI-1)
Active
Occupational Therapist
Provider Information
- NPI Number
1073745998- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OTRL
- Status
- Active
Contact & Location
- Address
- 245 MAIN ST, WOONSOCKET, RI, 028953123
- Phone
- (401) 766-0900
- Fax
- (401) 766-8737
Specialties & Taxonomies
Occupational Therapist
Primary License: RI #OT00974