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Organization

KIDS OT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA M POULIN OTRL (PRESIDENT)
(508) 248-6535
Entity
Organization

Contact information

Practice address
72 SOUTHBRIDGE RD, CHARLTON, MA 01507-5235
(508) 248-4408
Mailing address
72 SOUTHBRIDGE RD, CHARLTON, MA 01507-5235
(508) 248-6535
(508) 248-7972

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2538OT
MA

Other

Enumeration date
10/16/2006
Last updated
08/22/2020
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