Individual
NICOLE BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
55 BERNICE AVE, LEOMINSTER, MA 01453-1771
(978) 413-0179
Mailing address
55 BERNICE AVE, LEOMINSTER, MA 01453-1771
(978) 413-0179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12233
MA
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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