Individual
SUNNY RAE BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L, CLT
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 505-4727
Mailing address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1630
ME
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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