Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Michelle Jean Boudreau, COTA

Individual provider Occupational Therapy Assistant · NPI 1215155742

MS. Michelle Jean Boudreau, COTA is an Occupational Therapy Assistant in Conway, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

3300 4th Ave
Conway, SC 29527-6002
Phone: (843) 248-5728
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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 963 (SC)

Record details

NPI number1215155742
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedApril 22, 2007
Last updated in NPPESJuly 8, 2007

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