Organization
PUDDINGSTONE PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DOMENIC AMATO (ACCOUNTANT/ DO)
(774) 213-2362
Entity
Organization
Contact information
Practice address
47 E GROVE ST STE 102, MIDDLEBORO, MA 02346-1816
(774) 213-2362
Mailing address
47 E GROVE ST STE 102, MIDDLEBORO, MA 02346-1816
(774) 213-2362
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
03/19/2018
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