Individual provider · Type 1 NPI

Kevin Boutin, O.T.

Occupational Therapist · Tupelo, MS

NPI number 1780740456 Active

Practice location

90 Clark Ave # A
Tupelo, MS 38804-2801

Fax (662) 842-7915

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT1239 (MS)

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 1780740456

Kevin Boutin, O.T.'s National Provider Identifier is 1780740456, issued on Dec 28, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Tupelo, MS. The record was last updated on Jul 9, 2007.