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Individual

NICOLE ELIZABETH BOYINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
1180 PIONEER TRL, WAUKESHA, WI 53186-5490
(262) 226-2050
Mailing address
1180 PIONEER TRL, WAUKESHA, WI 53186-5490
(262) 226-2050

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3773-026
WI
225XE0001X
Environmental Modification Occupational Therapist
225XG0600X
Gerontology Occupational Therapist
225XM0800X
Mental Health Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
11/16/2011
Last updated
05/19/2020
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