THEPDARA BORIBOUN

WOONSOCKET, RI
NPI1073745998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: RI  OT00974)
Enumeration Date2009-08-11
Last Update Date2009-08-11
Business Address
-- THEPDARA BORIBOUN OTRL
245 MAIN ST
WOONSOCKET, RI 02895-3123
Phone number: 401-766-0900
Mailing Address
-- THEPDARA BORIBOUN OTRL
3095 MENDON RD
CUMBERLAND, RI 02864-2401
Phone number: 401-524-5236