Individual provider · Type 1 NPI

Mendy Boocher, OTR

Occupational Therapist · Niles, MI

NPI number 1013493246 Active

Practice location

1211 State Line Rd
Niles, MI 49120-4912

Mailing address

70656 Roosevelt St
Niles, MI 49120-7736

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201003335 (MI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013493246

Mendy Boocher, OTR's National Provider Identifier is 1013493246, issued on Jul 11, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Niles, MI. The record was last updated on Jul 11, 2018.