Aissa Courtney Boduch

Developmental Therapist · Lowell, MA

Individual Active NPI

NPI number 1013198563

Practice location

126 Phoenix Ave
Bldg. 2
Lowell, MA 01852-4931
Phone
(978) 453-8331

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NPI record

NPI
1013198563
Entity type
Individual (Type 1)
Enumeration date
November 26, 2007
Last updated
November 26, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

About Aissa Boduch

Aissa Courtney Boduch is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 126 Phoenix Ave, Bldg. 2, Lowell, MA 01852-4931. The NPI number 1013198563 was assigned on November 26, 2007 and the record was last updated on November 26, 2007.

Frequently asked questions

What is the NPI number of Aissa Courtney Boduch?

The NPI number is 1013198563.

What is the phone number of Aissa Boduch?

The phone number listed for the practice location is (978) 453-8331.

Where is Aissa Boduch located?

126 Phoenix Ave, Bldg. 2, Lowell, MA 01852-4931.

What is the taxonomy code for Aissa Boduch?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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