Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 14530 | NC |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 14530 | NC |
NPI | 1841959301 |
---|---|
Provider Name | Ms. Margaret Mary Boelter |
First Address | Durham, NC 27707-2412 |
Second Address | Morrisville, NC 27560-5676 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2021 |
Last Update Date | 13/12/2021 |