Organization
OCCUPATIONAL THERAPY FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ELIZABETH BOYINGTON OTD, OTR/L (CO-OWNER)
(262) 226-6065
Entity
Organization
Contact information
Practice address
1180 PIONEER TRL, WAUKESHA, WI 53186-5490
(262) 226-6065
Mailing address
1180 PIONEER TRL, WAUKESHA, WI 53186-5490
(262) 226-6065
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
07/08/2020
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