Individual
JOSEPH BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
(207) 871-1232
Mailing address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4031
ME
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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