Individual provider · Type 1 NPI

Jacqueline M. Boughter, COTA/L

Occupational Therapy Assistant · Hershey, PA

NPI number 1437455136 Active

Practice location

500 University Dr, Mc A410
Hershey, PA 17033-2360

Call (800) 243-1455 Map

Fax (717) 531-7269

Mailing address

19 Sycamore Hill Ct
Lebanon, PA 17042-9785

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOP001829L (PA)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1437455136

Jacqueline M. Boughter, COTA/L's National Provider Identifier is 1437455136, issued on Jan 28, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Hershey, PA. The record was last updated on Jan 28, 2011.