Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Dianne Boudreau, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1851765960

Jessica Dianne Boudreau, COTA/L is an Occupational Therapy Assistant in Kahoka, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2015
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

1260 N Johnson St
Kahoka, MO 63445-1100
Phone: (660) 727-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2015038298 (MO)

Record details

NPI number1851765960
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedDecember 1, 2015
Last updated in NPPESDecember 1, 2015

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