Individual
ALLYCYN BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1127 QUEENSBOROUGH BLVD STE 104, MOUNT PLEASANT, SC 29464-5431
(843) 216-0299
Mailing address
1127 QUEENSBOROUGH BLVD STE 104, MOUNT PLEASANT, SC 29464-5431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
21777
CA
225X00000X
Occupational Therapist
Primary
7531
SC
Other
Enumeration date
09/05/2025
Last updated
01/02/2026
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