Individual provider · Type 1 NPI

Ethan Joseph Booms, OTRL

Occupational Therapist · Saginaw, MI

NPI number 1962905596 Active

Practice location

1447 N Harrison St
Saginaw, MI 48602-4727

Call (989) 583-6387 Map

Mailing address

600 Irving Ave
Saginaw, MI 48602-5375

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201009403 (MI)

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 1962905596

Ethan Joseph Booms, OTRL's National Provider Identifier is 1962905596, issued on Mar 9, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Saginaw, MI. The record was last updated on Jun 16, 2018.