NPI 1104924042

Colleen Margaret Boissonneault, COTA

Practitioner Occupational Therapy Assistant Hudson, WI

Practice location

Address: 2705 Enloe St, Hudson, WI 54016-8173
Phone: (715) 386-2128
Fax: (715) 386-6119
Mailing address: 203 W Elm St, Roberts, WI 54023-9714

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1919 (WI)

Other Occupational Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1104924042
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.