Aissa Courtney Boduch

NPI #1013198563 in Lowell, Massachusetts

Provider Information

NPI Number: 1013198563
Entity Type: Individual
Name: Aissa Courtney Boduch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Nov 26, 2007
Last Updated: Nov 26, 2007

Practice Location

Address: 126 PHOENIX AVE
Address 2: BLDG. 2
City: Lowell
State: Massachusetts
ZIP Code: 01852-4931
Phone: (978) 453-8331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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