Individual
MR. FRANKLIN MICHAEL BOUTELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DRS, DI,DE
Contact information
Practice address
1760 CALIFORNIA AVE STE 106, CORONA, CA 92881-3397
(195) 151-5512
(951) 475-1035
Mailing address
1760 CALIFORNIA AVE STE 106, CORONA, CA 92881-3397
(951) 515-5152
(951) 475-1035
Taxonomy
Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
Primary
4482-001
CA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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