Emily S Boulter, OTRL

NPI #1972279461 in Portage, Michigan

Provider Information

NPI Number: 1972279461
Entity Type: Individual
Name: Emily S Boulter, OTRL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Aug 17, 2021
Last Updated: Aug 17, 2021

Practice Location

Address: 800 E MILHAM AVE
City: Portage
State: Michigan
ZIP Code: 49002-1490
Phone: (269) 986-5432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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