NPI 1134630775
James M Theriault
Practice location
- Address
- 279 Vermont Ave, Somerset, MA 02726
- Phone
- (774) 888-8233
- Mailing address
- 279 Vermont Ave, Somerset, MA 02726-3830
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1134630775
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Oct 2017
- Record last updated
- 23 Oct 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.