Provider Demographics
NPI:1871009571
Name:BODEN, LINDA CAROLE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:CAROLE
Last Name:BODEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 N MEADOWS RD
Mailing Address - Street 2:SPEECH-LANGUAGE & HEARING ASSOCIATES
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-2317
Mailing Address - Country:US
Mailing Address - Phone:508-359-4532
Mailing Address - Fax:
Practice Address - Street 1:5 NORTH MEADOWS RD.
Practice Address - Street 2:SPEECH-LANGUAGE-HEARING
Practice Address - City:MEDFIELD
Practice Address - State:MA
Practice Address - Zip Code:02052-0205
Practice Address - Country:US
Practice Address - Phone:508-359-4532
Practice Address - Fax:508-359-0198
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1526225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist