Donald Boulanger in St Petersburg - Occupational Therapist
Donald Boulanger - NPI 1124090311
Donald Boulanger is a Occupational Therapist in St Petersburg, Florida. Donald Boulanger practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Donald Boulanger is 1124090311. The last update date is 2007-07-09.
Donald Boulanger's current location address is 3731 Cherry St Ne, St Petersburg, Florida. You can contact this provider via phone number 9417561003 and fax number 9417566003. The mailing address for Donald Boulanger is 3731 Cherry St Ne, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Boulanger |
|---|---|
| Address | 3731 Cherry St Ne, St Petersburg, Florida |
| Phone Number | 9417561003 |
| Fax Number | 9417566003 |
| Sole Proprietor | X |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1124090311 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3731 Cherry St Ne |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337041523 |
| Phone Number | 9417561003 |
| Fax Number | 9417566003 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT4209 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y2902F | FL | BCBS |
Post Comment/ Review Below
What is the Donald Boulanger's 1124090311?
The Donald Boulanger's NPI (National Provider Identifier) Number is 1124090311. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Donald Boulanger by the Centers for Medicare & Medicaid Services (CMS)?
The Donald Boulanger has been assigned the NPI (National Provider Identifier) 1124090311. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
When was the Donald Boulanger's 1124090311 issued?
The Donald Boulanger's 1124090311 was issued on 2006-02-02.
On what date did the Centers for Medicare & Medicaid Services issue the 1124090311 to Donald Boulanger?
The Donald Boulanger received its 1124090311 assignment from the Centers for Medicare & Medicaid Services on 2006-02-02.
When was the information pertaining to Donald Boulanger most recently updated or revised?
The details related to Donald Boulanger, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.