Organization
BLUE SEA THERAPY, LLC
Active
Other names
Blue Sea Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SOPHIA ST. AMAND SLP (OWNER)
(508) 887-2747
Entity
Organization
Contact information
Practice address
62 EMERALD RD, RUTLAND, MA 01543-1536
(413) 537-3407
Mailing address
62 EMERALD RD, RUTLAND, MA 01543-1536
(413) 537-3407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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