Individual provider · Type 1 NPI

Ethan Boren, MOT, OTR, L

Occupational Therapist · Quincy, IL

NPI number 1528517166 Active

Practice location

1005 Broadway St
Quincy, IL 62301-2834

Call (217) 223-8400 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056011119 (IL)

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 1528517166

Ethan Boren, MOT, OTR, L's National Provider Identifier is 1528517166, issued on Sep 23, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Quincy, IL. The record was last updated on Sep 23, 2016.