Individual provider · Type 1 NPI

Shannon Nicole Boling, MOT, OTR/L

Occupational Therapist · New Port Richey, FL

NPI number 1235602012 Active

Practice location

1726 Davenport Dr
New Port Richey, FL 34655-4228

Mailing address

2237 Banyan Dr
Clearwater, FL 33763-1504

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X18732 (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 1235602012

Shannon Nicole Boling, MOT, OTR/L's National Provider Identifier is 1235602012, issued on Jan 4, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in New Port Richey, FL. The record was last updated on Jan 4, 2019.