Kevin Bouse, OT

NPI #1396909891 in Belleville, Illinois

Provider Information

NPI Number: 1396909891
Entity Type: Individual
Name: Kevin Bouse, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jul 14, 2008
Last Updated: Jul 14, 2008

Practice Location

Address: 180 S 3RD ST BLDG E
Address 2: SUITE 30
City: Belleville
State: Illinois
ZIP Code: 62220-1952
Phone: (618) 234-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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