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Kayla Boutell

Developmental Therapist in Worcester, MA. Individual provider (NPI-1).

NPI number1982017588
StatusActive
Last updated in NPPESJun 11, 2014

Details

NPI
1982017588
Entity type
Individual (NPI-1)
Name
Kayla Boutell
Sex
Female
Sole proprietor
No
Enumeration date
Jun 11, 2014
Last updated
Jun 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

345a Greenwood Street, Suite B
Worcester, MA 01607

Phone 508-363-0200

Mailing address

345a Greenwood Street, Suite B
Worcester, MA 01607

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