Individual
MS. PAULINE ANNE BOISSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
ST. MICHAELS ASSOCIATION OF SPECIAL EDUCATION, 1 MILE N OF 264 MUSTANG ROAD, ST. MICHAELS, AZ 86511-0100
(928) 871-2812
Mailing address
PO BOX 1274, ST MICHAELS, AZ 86511-1274
(928) 871-2846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0049
AZ
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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