Individual
LISA ANN THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, MSOT, OTR
Contact information
Practice address
399 LINCOLN RD, WALPOLE, MA 02081-1218
(617) 233-5441
Mailing address
623 HILLTOP DR, WALPOLE, MA 02081-4410
(617) 233-5441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT02214
RI
225X00000X
Occupational Therapist
Primary
OTL14999
MA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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