Individual
GIANNA M BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
259 WALT WHITMAN RD, HUNTINGTON STATION, NY 11746-4119
(631) 683-5455
Mailing address
259 WALT WHITMAN RD, HUNTINGTON STATION, NY 11746-4119
(631) 683-5455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029395
NY
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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