Individual
CARIANNE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
300 SIERRA COLLEGE DR STE 165, GRASS VALLEY, CA 95945-5083
(530) 274-2320
Mailing address
300 SIERRA COLLEGE DR STE 165, GRASS VALLEY, CA 95945-5083
(530) 274-2320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8445
CA
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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