Individual
MR. GERRY AUGUSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
462 WASHINGTON ST # 2546, WOBURN, MA 01801-2114
(781) 777-5174
Mailing address
462 WASHINGTON ST # 2546, WOBURN, MA 01801-2114
(781) 777-5174
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
172V00000X
Community Health Worker
—
—
174400000X
Specialist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
Other
Enumeration date
03/05/2021
Last updated
04/19/2021
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