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

AUSTYNNE NEWBERG BOULTON, MOT, OTR/L

Active Sole Proprietor

AUSTYNNE NEWBERG BOULTON, MOT, OTR/L is a Occupational Therapist healthcare provider located in LIBERTYVILLE, Illinois. NPI 1992203525 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LIBERTYVILLE, IL

Registration Details

NPI Number
1992203525
Provider Type
Individual
Gender
Female
NPI Issued
Jan 29, 2018 (8.4993654838869 yrs)
Last Updated
Dec 31, 2024
License
056.012332 (IL)
Sole Proprietor
Yes

Practice Information

Address
1585 N MILWAUKEE AVE STE 101
LIBERTYVILLE, IL, 600481359
Browse IL providers · Browse ZIP 60048
Phone
8479187947
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in LIBERTYVILLE, IL

Name Credential NPI
PAMELA L HENRY O.T. 1467439448
JAYNE ANN WHITE OTR/L 1801800040
MALINA CHIN OT 1386757318
MISS NAYNA PUROHIT MOTR/L 1831209790
MRS. JAYNE MARIE PERLMAN OTR 1689767972
MARY LUEHRS-MASEL MS OTRL 1942398854
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.