Puddingstone Place, LLC
NPI #1477054419 in Middleboro, Massachusetts
Provider Information
- NPI Number
- 1477054419
- Entity Type
- Organization
- Organization Name
- Puddingstone Place, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Feb 26, 2018
- Last Updated
- Mar 19, 2018
Practice Location
- Address
- 47 E GROVE ST STE 102
- City
- Middleboro
- State
- Massachusetts
- ZIP Code
- 02346-1816
- Phone
- (774) 213-2362
Authorized Official
- Name
- PAUL DOMENIC AMATO
- Title
- ACCOUNTANT/ DO
- Phone
- (774) 213-2362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Occupational Therapist |
| Speech-Language Pathologist |
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