Individual
JULIE A. BOUSQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
150 MANSFIELD AVE, WILLIMANTIC, CT 06226-2026
(860) 456-2232
(860) 456-2256
Mailing address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1714
(203) 740-0020
(203) 775-0238
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002909
CT
Other
Enumeration date
07/03/2006
Last updated
10/08/2007
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