Boonstra, Anita M
Boonstra, Anita M is an sole proprietor health care provider with primary practice located at 1917 Coffee Road , Modesto CA 95355-2704. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Boonstra, Anita M can be contacted via phone (209) 549-4626.Contact Information
Primary practice address
1917 Coffee Road
Modesto CA 95355-2704
Phone: (209) 549-4626
Fax: (209) 549-4625
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 12032 | California |
Profile Details
NPI number | 1457714743 |
---|---|
LBN Legal business name | Boonstra, Anita M |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 4th, 2016 |
Last updated | Apr 4th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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