Boudreau, Mary
Boudreau, Mary is an individual health care provider with primary practice located at 279 Cabot St , Holyoke MA 01040-3139. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Boudreau, Mary can be contacted via phone (413) 536-3435.Contact Information
Primary practice address
279 Cabot St
Holyoke MA 01040-3139
Phone: (413) 536-3435
Fax: (413) 536-8259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 2378 | Massachusetts |
Profile Details
| NPI number | 1912371337 |
|---|---|
| LBN Legal business name | Boudreau, Mary |
| Credentials | OTA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2015 |
| Last updated | Nov 23rd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912371337 | NPPES |
| Massachusetts | Other | 2378 | STATE MASS OTA LICENSE |
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