Thepdara Boriboun, OTRL

NPI #1073745998 in Woonsocket, Rhode Island

Provider Information

NPI Number: 1073745998
Entity Type: Individual
Name: Thepdara Boriboun, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Aug 11, 2009
Last Updated: Aug 11, 2009

Practice Location

Address: 245 MAIN ST
City: Woonsocket
State: Rhode Island
ZIP Code: 02895-3123
Phone: (401) 766-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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