Individual
MS. JESSICA JEAN BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
475 ETHAN ALLEN AVE, COLCHESTER, VT 05446-3312
(802) 338-9021
Mailing address
321 EAGLE PARK DR, COLCHESTER, VT 05446-6012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-00000515
VT
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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