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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARILYN KATHERIN BOULDIN, PTA

Active Sole Proprietor

MARILYN KATHERIN BOULDIN, PTA is a Occupational Therapist healthcare provider located in CAMERON, Missouri. NPI 1548658735 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CAMERON, MO

Registration Details

NPI Number
1548658735
Provider Type
Individual
Gender
Female
NPI Issued
Dec 23, 2014 (11.602114277156 yrs)
Last Updated
Dec 23, 2014
Licenses
2013025656 (MO)
14-02553 (KS)
Sole Proprietor
Yes

Practice Information

Address
801 EUCLID AVE
CAMERON, MO, 644292003
Browse MO providers · Browse ZIP 64429
Phone
8166327254
Fax
8166323757
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in CAMERON, MO

Name Credential NPI
RENEE K HAHN PTA 1568775377
STEPHANIE CALDWELL 1982975363
MRS. LEASA A MOORE SIMERLY PTA 1194097543
MRS. KORTNIE BRYANNE GIBSON PTA 1871837898
MORGAN ALLEN PTA 1134463284
MRS. KARRI APRIL BRADY PTA 1861739575
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.