Individual
MRS. DIANE E BOUSQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
61 GREENWAY, VERNON, VT 05354-9474
(802) 254-6041
Mailing address
200 BRICKSTONE SQ, SUITE 301, ANDOVER, MA 01810-1437
(978) 474-7500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
073-0000049
VT
Other
Enumeration date
01/12/2008
Last updated
01/12/2008
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