DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA DIANNE BOUDREAU, COTA/L

Active Sole Proprietor

JESSICA DIANNE BOUDREAU, COTA/L is a Occupational Therapy Assistant healthcare provider located in KAHOKA, Missouri. NPI 1851765960 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · KAHOKA, MO

Registration Details

NPI Number
1851765960
Provider Type
Individual
Gender
Female
NPI Issued
Dec 1, 2015 (10.662555998545 yrs)
Last Updated
Dec 1, 2015
License
2015038298 (MO)
Sole Proprietor
Yes

Practice Information

Address
1260 N JOHNSON ST
KAHOKA, MO, 634451100
Browse MO providers · Browse ZIP 63445
Phone
6607273303
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in KAHOKA, MO

Name Credential NPI
PATRICIA A HOFFMAN COTA/L 1356805535
KOURTNEY BROOKE MEINHARDT 1366076929
BRIANA WHISTON 1710650676
MRS. JENNIFER LEIGH VAUGHN COTA/L 1518787324
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.