Individual
MS. DONNA BOULANGER
Active
Individual
MS. DONNA BOULANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004304L
PA
225XL0004X
Low Vision Occupational Therapist
OC004304L
PA
Other
Enumeration date
10/04/2009
Last updated
10/04/2009
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