| Provider / Organization | NPI | Date Certified |
|---|---|---|
| WHITNEY M BOETEL | 1861279101 | 2023-09-11 |
Whitney M Boetel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861279101. Registration indicates Whitney M Boetel is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist: Neurorehabilitation, ) (Occupational Therapist Neurorehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Occupational Therapist, )
| Entity Type | Individual |
| Provider Name | Whitney M Boetel MS, OT, C/NDT |
| Practice Office Address | 7739 E PORTOFINO AVE ANAHEIM, CA US |
| Practice Office Telephone | 7142277783 |
| Mailing Address | 7739 E PORTOFINO AVE ANAHEIM, CA 928081569 US |
| Business Telephone | 7142277783 |
| Code | Practice | License No State |
|---|---|---|
| 225XN1300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist: Neurorehabilitation Occupational Therapist Neurorehabilitation Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | 18482
CA |