Keith Bouvier, is a
Occupational Therapist based in Brooklyn, Connecticut. Keith Bouvier is licensed to practice in Connecticut (license number 3504) and his current practice location is
44 Canterbury Rd, Brooklyn, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 774-9050.
NPI number for Keith Bouvier is 1184329633 and his current mailing address is 204 Gooseneck Hill Rd, Canterbury, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184329633.
Healthcare Provider's Profile
| Full Name | Keith Bouvier |
|---|
| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 44 Canterbury Rd, Brooklyn, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184329633
- Provider Enumeration Date: 04/04/2023
- Last Update Date: 04/04/2023
Medical Identifiers
Medical identifiers for Keith Bouvier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184329633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 3504 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Bouvier is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keith Bouvier,
204 Gooseneck Hill Rd,
Canterbury, CT 06331-1815
Ph: () - | Keith Bouvier,
44 Canterbury Rd,
Brooklyn, CT 06234-1914
Ph: (860) 774-9050 |
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