Individual
MS. SUSAN DENISE BOUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 OBERY ST, PLYMOUTH, MA 02360-2130
(508) 747-9800
Mailing address
140 LEPES RD, SOMERSET, MA 02726-2631
(508) 567-0675
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3236
MA
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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