Individual
NICHOLLE BOISCLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
301 CONCORD STREET UNIT 335, PAWTUCKET, RI 02860
(401) 826-8875
Mailing address
275 W NATICK RD STE 400, WARWICK, RI 02886-1161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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