Individual provider · Type 1 NPI

Michelle Bouboulis, OTR/L

Occupational Therapist · Fairfax, VA

NPI number 1962824284 Active

Practice location

3750 Joseph Siewick Dr
Fairfax, VA 22033-1742

Call (571) 306-7999 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0119005611 (VA)

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 1962824284

Michelle Bouboulis, OTR/L's National Provider Identifier is 1962824284, issued on Jan 7, 2014. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fairfax, VA. The record was last updated on Jan 7, 2014.