Emily S Boulter, OTRL
Occupational Therapist in Portage, MI. Individual provider (NPI-1).
NPI number1972279461
StatusActive
Last updated in NPPESAug 17, 2021
Details
- NPI
- 1972279461
- Entity type
- Individual (NPI-1)
- Name
- Emily S Boulter
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2021
- Certification date
- Aug 17, 2021
- Last updated
- Aug 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201010153 | MI | Yes |
Practice location
800 E Milham AvePortage, MI 49002-1490
Phone 269-986-5432
Mailing address
800 E Milham AvePortage, MI 49002-1490
Phone 269-986-5432
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All 41 Occupational Therapist providers in Portage · All 1,955 providers in Portage
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