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Individual
MR. MANUEL BOUFFARD
Active
Individual
MR. MANUEL BOUFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR CHT
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
00978
CA
225400000X
Rehabilitation Practitioner
00978
CA
225X00000X
Occupational Therapist
Primary
00978
CA
225XE1200X
Ergonomics Occupational Therapist
OT00978
CA
225XH1200X
Hand Occupational Therapist
00978
CA
225XH1300X
Human Factors Occupational Therapist
00978
CA
225XN1300X
Neurorehabilitation Occupational Therapist
00978
CA
225XP0200X
Pediatric Occupational Therapist
00978
CA
225XR0403X
Driving and Community Mobility Occupational Therapist
00978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5208580001
DMERC
CA
01
—
ZZZ08589Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
01/02/2006
Last updated
11/16/2010
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