Individual
BRENDA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 PARK DR, WESTFORD, MA 01886-3511
(978) 392-1144
Mailing address
3 PARK DR, WESTFORD, MA 01886-3511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1049
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1049
BOARD OF ALLIED HEALTH
MA
Enumeration date
06/11/2015
Last updated
06/11/2015
About Stedi
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