Individual
ASHLEY NICOLE BOUDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
20 N MAPLE ST, HADLEY, MA 01035-9715
(413) 584-5057
Mailing address
59 WOODS HOLLOW RD, WEST SUFFIELD, CT 06093-2656
(860) 508-7071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4007
MA
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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