Individual provider · Type 1 NPI

Justine Noel Bolten, OTD, OTR/L

Occupational Therapist · Fort Drum, NY

NPI number 1194290023 Active

Practice location

Usa Meddac, 11050 Munt Belvedere Blvd
Fort Drum, NY 13630

Call (315) 772-6730 Map

Mailing address

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X19534 (FL)

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 1194290023

Justine Noel Bolten, OTD, OTR/L's National Provider Identifier is 1194290023, issued on Oct 8, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Drum, NY. The record was last updated on Dec 14, 2021.