Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MICHELLE JEAN BOUDREAU, COTA
ActiveMS. MICHELLE JEAN BOUDREAU, COTA is a Occupational Therapy Assistant healthcare provider located in CONWAY, South Carolina. NPI 1215155742 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · CONWAY, SC
Registration Details
- NPI Number
- 1215155742
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2007 (19.284647581668 yrs)
- Last Updated
- Jul 8, 2007
- License
-
963 (SC)
Practice Information
- Address
-
3300 4TH AVECONWAY, SC, 295276002Browse SC providers · Browse ZIP 29527
- Phone
- 8432485728
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in CONWAY, SC
| Name | Credential | NPI |
|---|---|---|
| VALENSIA CLARK | — | 1174990923 |
| MELISSA MARIE ANTAL | — | 1619691466 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.