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Individual

CHRISTINE TETRAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
607 NORTH AVE, WAKEFIELD, MA 01880-1322
(781) 245-4446
Mailing address
607 NORTH AVE, WAKEFIELD, MA 01880-1322
(781) 245-4446

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
MA
225X00000X
Occupational Therapist
Primary
13778
MA

Other

Enumeration date
10/04/2019
Last updated
10/13/2023
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