Elizabeth S Bolton, MS OTR/L

Individual provider Active NPI Occupational Therapist · Sandwich, MA

NPI 1891034385 · NPPES record last updated Feb 4, 2013

Key facts

NPI
1891034385
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
8031 (MA)
Practice address
1 Old Forge Rd
Sandwich, MA 02563-2569
Phone
(508) 237-5642
NPI assigned
Feb 4, 2013
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8031MAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8031 MA Yes

Addresses

Primary practice location

1 Old Forge Rd
Sandwich, MA 02563-2569

Mailing address

1 Old Forge Rd
Sandwich, MA 02563-2569
Phone (508) 237-5642

Other providers in Sandwich, MA

All providers in Sandwich, MA · Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.