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

MR. BOITUMELO JOHN EDMUND MASHALA, P.T.A

Active Sole Proprietor

MR. BOITUMELO JOHN EDMUND MASHALA, P.T.A is a Occupational Therapist healthcare provider located in GREENCASTLE, Indiana. NPI 1811301815 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GREENCASTLE, IN

Registration Details

NPI Number
1811301815
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2014 (12.136485862091 yrs)
Last Updated
Jun 17, 2014
License
06004423A (IN)
Sole Proprietor
Yes

Practice Information

Address
1150 CHESTNUT CT
APT H
GREENCASTLE, IN, 461357309
Browse IN providers · Browse ZIP 46135
Phone
5745961539
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in GREENCASTLE, IN

Name Credential NPI
SHARON ANNE CRUM PTA 1891093811
KEENA TISHELLE RICHARDSON PTA 1902543044
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.