Most Relevant Information
Provider Data
| NPI Number: | 1003345430 |
| Provider Name: | KASSIDY BUMFORD |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2017 |
| Last Updated: | 06/08/2017 |
Provider Practice Location
345A GREENWOOD ST
SUITE B
WORCESTER
MA
01607
Practice Location Phone/Fax
| Phone: | 5083630200 |
| Fax: |
Provider Mailing Location
345A GREENWOOD ST STE B
WORCESTER
MA
016071753
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |