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Contact Information

NICOLE BOUDREAU, MOTR/L
55 BERNICE AVE
LEOMINSTER, MA01453-1771
 Phone: 978-413-0179
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NICOLE BOUDREAU · (Female)

NPI Number 1447790746
Status Active
Credentials MOTR/L
Entity Individual
Enumeration date 03/06/2017
Last updated 03/06/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 12233
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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