Individual
HEATHER DUPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
36 2ND ST, TAUNTON, MA 02780-4821
(508) 821-1275
Mailing address
36 2ND ST, TAUNTON, MA 02780-4821
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
10945
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10945
ALLIED HEALTH
MA
Enumeration date
08/27/2018
Last updated
08/27/2018
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