Individual provider · Type 1 NPI

Alane M. Boutelle, COTA

Occupational Therapy Assistant · Verona, WI

NPI number 1821389115 Active

Practice location

1100 E Verona Ave
Verona, WI 53593-8717

Fax (608) 845-1264

Mailing address

2448 S 102nd St, Suite # 340
Milwaukee, WI 53227-2466

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4767-027 (WI)

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 1821389115

Alane M. Boutelle, COTA's National Provider Identifier is 1821389115, issued on Apr 21, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Verona, WI. The record was last updated on Apr 21, 2011.