Individual
JAMIE ALEXANDRIA BOUSNAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
40 EASTERN AVE, MALDEN, MA 02148-5014
(800) 760-5196
Mailing address
70 LINCOLNSHIRE DR, BRADFORD, MA 01835-8171
(978) 729-3169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6711
MA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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