Individual
MRS. KERRY JEAN BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
90 LINDALL ST, DANVERS, MA 01923-2125
(978) 777-3740
Mailing address
90 LINDALL ST, DANVERS, MA 01923-2125
(978) 777-3740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3231
MA
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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