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Contact Information

JAMES M THERIAULT
279 VERMONT AVE
SOMERSET, MA02726
 Phone: 774-888-8233
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JAMES M THERIAULT · (Male)

NPI # 1134630775
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2017
Last updated 10/23/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 3025
  • MA Other 3025 ALLIED HEALTH PROFESSIONALS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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