Individual
MARIE ADELE REVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 PHOENIX AVE, BLDG. #2, LOWELL, MA 01852-4931
(978) 453-8331
Mailing address
2-2488 KAUMUALII HWY, BLDG. #2, KALAHEO, HI 96741-8311
(808) 335-5808
(808) 335-5657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
06/10/2016
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