Individual
MRS. JOANN DENISE BOUSQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
68 RIVER RD, WARE, MA 01082-9408
(413) 967-8076
Mailing address
68 RIVER RD, WARE, MA 01082-9408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2832
MA
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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