Jessica Dianne Boudreau, COTA/L

NPI #1851765960 in Kahoka, Missouri

Provider Information

NPI Number
1851765960
Entity Type
Individual
Name
Jessica Dianne Boudreau, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Dec 1, 2015
Last Updated
Dec 1, 2015

Practice Location

Address
1260 N JOHNSON ST
City
Kahoka
ZIP Code
63445-1100
Phone
(660) 727-3303

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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