Active NPIIndividual provider

Ms. Jessica J Bolduc, OT

Occupational Therapist in Colchester, Vermont

NPI Number1629142914
Practice location
475 Ethan Allen Ave, Colchester, VT 05446-3312
Fax
—
Last updated
July 8, 2007

Jessica Jean Bolduc is an Occupational Therapist based in Colchester, VT. Jessica Jean Bolduc practices in Colchester, VT and has the professional credentials of OT. The NPI Number for Jessica Jean Bolduc is 1629142914 and holds a License No. 072-00000515 (VT). The current practice location address for Jessica Jean Bolduc is 475 Ethan Allen Ave, Colchester, VT 05446-3312 and can be reached out via phone at 802-338-9021.

Provider Profile Details

NPI Number
1629142914
Provider Name
Jessica Jean Bolduc
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
475 Ethan Allen Ave, Colchester, VT 05446-3312
Phone Number
802-338-9021
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
November 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
475 Ethan Allen Ave
Colchester, VT 05446-3312
State
Vermont
Zip
05446-3312
Phone Number
802-338-9021
Colchester, VT 05446Get directions →

Provider Business Mailing Address Details

Address
321 Eagle Park Dr
Colchester, VT 05446-6012
City
Colchester
State
VT
Zip
05446-6012

License Information

License Number
072-00000515
License State
VT
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jessica J Bolduc, OT?

The NPI number of Ms. Jessica J Bolduc, OT is 1629142914. It was assigned on November 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Jessica J Bolduc, OT?

Ms. Jessica J Bolduc, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in VT under license number 072-00000515.

Where does Ms. Jessica J Bolduc, OT practice?

The practice location is 475 Ethan Allen Ave, Colchester, VT 05446-3312. The office can be reached at 802-338-9021 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629142914 directly on the NPPES registry website.

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