Boa Moua

NPI #1215428248 in Fitchburg, Massachusetts

Provider Information

NPI Number: 1215428248
Entity Type: Individual
Name: Boa Moua
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: May 25, 2018
Last Updated: May 25, 2018

Practice Location

Address: 44 HIGHLAND AVE APT 1
City: Fitchburg
State: Massachusetts
ZIP Code: 01420-7815
Phone: (978) 870-5502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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