Boundless Community Ot, LLC

NPI #1912671413 in Bridgewater, Massachusetts

Provider Information

NPI Number: 1912671413
Entity Type: Organization
Organization Name: Boundless Community Ot, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 6, 2021
Last Updated: Sep 2, 2021

Practice Location

Address: 120 MAIN ST
City: Bridgewater
State: Massachusetts
ZIP Code: 02324-1409
Phone: (508) 901-2003

Authorized Official

Name: ELENA HOGAN, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (781) 864-2268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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