Individual provider · Type 1 NPI

Linda Theriault, PA-C

Medical Physician Assistant · Springfield, MA

NPI number 1003825316 Active

Practice location

3300 Main St, 2nd Floor Suite A
Springfield, MA 01199-1002

Call (413) 794-7246 Map

Fax (413) 794-0198

Mailing address

280 Chestnut St, 2nd Floor
Springfield, MA 01199-1000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X694 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1003825316

Linda Theriault, PA-C's National Provider Identifier is 1003825316, issued on Aug 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, MA. The record was last updated on Mar 18, 2011.