Organization
INTEGRATED CHILDRENS THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA VAN GORDER (OWNER)
(508) 284-3916
Entity
Organization
Contact information
Practice address
2 COOLIDGE ST, HUDSON, MA 01749-1459
(978) 568-8800
(978) 568-8877
Mailing address
20 JOHNSON AVE, NORTHBOROUGH, MA 01532-2022
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2008
Last updated
10/08/2019
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