Individual
DAVID R BOERKOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
9520 BONITA BEACH RD SE, BONITA SPRINGS, FL 34135-4517
(236) 951-4231
Mailing address
295 SAYBROOK CT, NAPLES, FL 34110-1370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16952
FL
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9520
THIRD PARTY
—
Enumeration date
05/24/2017
Last updated
05/24/2017
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