Individual
CAITLIN ELISE BOULWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119007198
VA
225X00000X
Occupational Therapist
Primary
OT60731216
WA
Other
Enumeration date
03/15/2017
Last updated
04/12/2021
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