Individual
JESSICA BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L, WCC
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11366
MA
225X00000X
Occupational Therapist
2433
NH
225X00000X
Occupational Therapist
332720
MA
Other
Enumeration date
10/04/2017
Last updated
03/27/2020
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