Individual provider · Type 1 NPI

Austynne Newberg Boulton, MOT, OTR/L

Occupational Therapist · Libertyville, IL

NPI number 1992203525 Active

Practice location

1585 N Milwaukee Ave Ste 101
Libertyville, IL 60048-1359

Mailing address

3930 Forest Fork Ct
Long Grove, IL 60047-5236

Other practice locations

  • 424 N Rand Rd, North Barrington, IL 60010-1496 · (847) 756-2680

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056.012332 (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 1992203525

Austynne Newberg Boulton, MOT, OTR/L's National Provider Identifier is 1992203525, issued on Jan 29, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Libertyville, IL. The record was last updated on Dec 31, 2024.