Michelle Jean Boudreau in Shallotte - Occupational Therapy Assistant
Michelle Jean Boudreau - NPI 1215155742
Michelle Jean Boudreau is a Occupational Therapy Assistant in Shallotte, North Carolina. Michelle Jean Boudreau practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Michelle Jean Boudreau is 1215155742. The last update date is 2007-07-08.
Michelle Jean Boudreau's current location address is 238 Suburban St Sw, Shallotte, North Carolina. You can contact this provider via phone number 9104430867. The mailing address for Michelle Jean Boudreau is 238 Suburban St Sw, Shallotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Jean Boudreau |
|---|---|
| Address | 238 Suburban St Sw, Shallotte, North Carolina |
| Phone Number | 9104430867 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1215155742 |
|---|---|
| Provider Enumeration Date | 2007-04-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 238 Suburban St Sw |
|---|---|
| City | Shallotte |
| State | North Carolina (NC) |
| Post Code | 284701702 |
| Phone Number | 9104430867 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 963 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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What is the unique identification code assigned to Michelle Jean Boudreau by the Centers for Medicare & Medicaid Services?
The Michelle Jean Boudreau has been issued the NPI (National Provider Identifier) 1215155742. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michelle Jean Boudreau?
The Michelle Jean Boudreau is physically situated at 238 Suburban St Sw, in the city of Shallotte, state of NC, with the postal code 284701702.
What is Michelle Jean Boudreau's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michelle Jean Boudreau is Occupational Therapy Assistant, and the taxonomy code that classifies this field of practice is 224Z00000X.
When was the Michelle Jean Boudreau's 1215155742 issued?
The Michelle Jean Boudreau's 1215155742 was issued on 2007-04-22.
When was the Michelle Jean Boudreau's information last updated?
The Michelle Jean Boudreau's information was last updated on 2007-07-08.