Individual
KELSEY BOUTHILETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11 SAINT ANTHONY ST, CHICOPEE, MA 01013-2141
(413) 315-4205
(413) 552-3426
Mailing address
6 GLENDALE ST, EASTHAMPTON, MA 01027-2005
(413) 552-6997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13480
MA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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