Active NPIIndividual provider

Mrs. Mary Boudreau, OTA

Occupational Therapy Assistant in Holyoke, Massachusetts

NPI Number1912371337
Practice location
279 Cabot St, Holyoke, MA 01040-3139
Fax
413-536-8259
Last updated
November 23, 2015

Mary Boudreau is an Occupational Therapy Assistant based in Holyoke, MA. Mary Boudreau practices in Holyoke, MA and has the professional credentials of OTA. The NPI Number for Mary Boudreau is 1912371337 and holds a License No. 2378 (MA). The current practice location address for Mary Boudreau is 279 Cabot St, Holyoke, MA 01040-3139 and can be reached out via phone at 413-536-3435 and via fax at 413-536-8259.

Provider Profile Details

NPI Number
1912371337
Provider Name
Mary Boudreau
Credential
OTA
Provider Entity Type
Individual
Gender
Female
Address
279 Cabot St, Holyoke, MA 01040-3139
Phone Number
413-536-3435
Fax Number
413-536-8259
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 23, 2015
Last Update Date
November 23, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
279 Cabot St
Holyoke, MA 01040-3139
Zip
01040-3139
Phone Number
413-536-3435
Fax Number
413-536-8259
Holyoke, MA 01040Get directions →

Provider Business Mailing Address Details

Address
279 Cabot St
Holyoke, MA 01040-3139
City
Holyoke
State
MA
Zip
01040-3139
Phone Number
413-536-3435
Fax Number
413-536-8259

License Information

License Number
2378
License State
MA
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Mrs. Mary Boudreau, OTA?

The NPI number of Mrs. Mary Boudreau, OTA is 1912371337. It was assigned on November 23, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary Boudreau, OTA?

Mrs. Mary Boudreau, OTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 2378.

Where does Mrs. Mary Boudreau, OTA practice?

The practice location is 279 Cabot St, Holyoke, MA 01040-3139. The office can be reached at 413-536-3435 (phone) or 413-536-8259 (fax).

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 1912371337 directly on the NPPES registry website.

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