Individual provider · Type 1 NPI

Ryan Patrick Bourdelais

Occupational Therapist · De Pere, WI

NPI number 1467968313 Active

Practice location

200 S 9th St
De Pere, WI 54115-1393

Mailing address

2002 Pink Dogwood Way
Suamico, WI 54313-3241

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X6155 (WI)

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 1467968313

Ryan Patrick Bourdelais's National Provider Identifier is 1467968313, issued on Dec 14, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in De Pere, WI. The record was last updated on Dec 14, 2017.