Charlotte E Boblitt, COTA

Individual provider Active NPI Occupational Therapy Assistant · Troy, OH

NPI 1295079770 · NPPES record last updated Nov 21, 2012

Key facts

NPI
1295079770
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
01462 (OH)
Practice address
512 Crescent Dr
Troy, OH 45373-2718
Phone
(937) 335-7161
NPI assigned
Nov 21, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
01462OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 01462 OH Yes

Addresses

Primary practice location

512 Crescent Dr
Troy, OH 45373-2718

Mailing address

512 Crescent Dr
Troy, OH 45373-2718
Phone (937) 335-7161

Other providers in Troy, OH

All providers in Troy, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.