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Organization

BOUNDLESS COMMUNITY OT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELENA HOGAN OTR/L (OCCUPATIONAL THERAPIST)
(781) 864-2268
Entity
Organization

Contact information

Practice address
120 MAIN ST, BRIDGEWATER, MA 02324-1409
(508) 901-2003
Mailing address
1029 PLEASANT ST STE 101, BRIDGEWATER, MA 02324-2473
(508) 901-2003

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/06/2021
Last updated
09/02/2021
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