Thepdara Boriboun, OTRL

NPI 1073745998 · on the registry since 2009 · sole proprietor

Practice

Address: 245 Main St
Woonsocket, RI 02895
Phone: (401) 766-0900
Fax: (401) 766-8737
Organisation at this address: Community Care Alliance
Community Care Alliance Agape
Family Resources Community Action
Family Resources Community Action Inc
Community Care Alliance Early Intervention
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 57

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: RI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island