# OCCUPATIONAL THERAPY FAMILY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912522665
- **Authorized official:** NICOLE ELIZABETH BOYINGTON OTD, OTR/L (CO-OWNER)
- **Authorized official phone:** (262) 226-6065

## Contact information

- **Practice address:** 1180 PIONEER TRL, WAUKESHA, WI 53186-5490
- **Practice address phone:** (262) 226-6065
- **Mailing address:** 1180 PIONEER TRL, WAUKESHA, WI 53186-5490
- **Mailing address phone:** (262) 226-6065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2020
- **Last updated:** 07/08/2020