Organization
VIVIAN AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN A BOATENG (RN)
(508) 854-1721
Entity
Organization
Contact information
Practice address
214C E MOUNTAIN ST APT 50, WORCESTER, MA 01606-1232
(508) 755-9198
Mailing address
214C E MOUNTAIN ST APT 50, WORCESTER, MA 01606-1232
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2011
Last updated
11/06/2011
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