Individual
HOLLY LYNN THERIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
574 MAIN ST, WEYMOUTH, MA 02190-1818
(781) 335-3023
Mailing address
62 ABERDEEN DR, SCITUATE, MA 02066-2420
(781) 385-9211
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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