Individual
AMBER VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED. COMS
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-4308
Mailing address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-4308
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
6854
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6854
ACVREP
MA
Enumeration date
08/05/2014
Last updated
12/09/2024
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