Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAVEN CELESTE BOATMAN, PTA
Active Sole ProprietorRAVEN CELESTE BOATMAN, PTA is a Occupational Therapist healthcare provider located in GRENADA, Mississippi. NPI 1134701642 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GRENADA, MS
Registration Details
- NPI Number
- 1134701642
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2021 (5.2677145978093 yrs)
- Last Updated
- Apr 23, 2021
- License
-
PTA6380 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1966 F S HILL DRGRENADA, MS, 389015047Browse MS providers · Browse ZIP 38901
- Phone
- 6622262442
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in GRENADA, MS
| Name | Credential | NPI |
|---|---|---|
| JASON GUYNES KING | PTA | 1083005086 |
| CHAMBRIA NELSON | — | 1609517598 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.