Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN BOREN, MOT, OTR, L
ActiveETHAN BOREN, MOT, OTR, L is a Occupational Therapist healthcare provider located in QUINCY, Illinois. NPI 1528517166 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · QUINCY, IL
Registration Details
- NPI Number
- 1528517166
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2016 (9.8487959465738 yrs)
- Last Updated
- Sep 23, 2016
- License
-
056011119 (IL)
Practice Information
- Address
-
1005 BROADWAY STQUINCY, IL, 623012834Browse IL providers · Browse ZIP 62301
- Phone
- 2172238400
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in QUINCY, IL
| Name | Credential | NPI |
|---|---|---|
| DEANNA TWADDLE | OT | 1932172566 |
| KARIN HOGGE | O.T. | 1942210950 |
| MRS. KATHLEEN FINLEY LICAVOLI | O.T. | 1144351610 |
| MRS. KRISTIE KATHRYN BUNCH | OTR | 1376667360 |
| MRS. BONITA MARIE DOELLMAN | M.A. OTRL | 1457477259 |
| AMANDA K ADAMS | OT | 1205038213 |
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.