Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN JOSEPH BOOMS, OTRL
ActiveETHAN JOSEPH BOOMS, OTRL is a Occupational Therapist healthcare provider located in SAGINAW, Michigan. NPI 1962905596 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SAGINAW, MI
Registration Details
- NPI Number
- 1962905596
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2018 (8.2450581076707 yrs)
- Last Updated
- Jun 16, 2018
- License
-
5201009403 (MI)
Practice Information
- Address
-
1447 N HARRISON STSAGINAW, MI, 486024727Browse MI providers · Browse ZIP 48602
- Phone
- 9895836387
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in SAGINAW, MI
| Name | Credential | NPI |
|---|---|---|
| MARYLYNN EWALD | OT | 1245273424 |
| MS. KELLY ANNETTE HALLER | O.T.R. | 1336250463 |
| YUCHING SUN GROYA | OTR | 1174614564 |
| JANELLE MYERS | — | 1518038074 |
| MS. DIANE L. DALZELL | OTR | 1427108224 |
| JANET LYNN GIEM | OTR | 1144369786 |
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.