Bryan Boardsen, MOT
Bryan Boardsen, MOT is an Occupational Therapist in Waterloo, Iowa. Licensed in Iowa and Illinois. Registered with an NPI since 2008.
- Licensed in
- IA, IL
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
815 W Tower Park DrWaterloo, IA 50701-9026
Phone: (319) 233-6995
Fax: (319) 233-7083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 002042 (IA) |
|---|---|
| Occupational Therapist | Taxonomy 225X00000X · Licence 056-008438 (IL) |
Record details
| NPI number | 1700036043 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MOT |
| Sole proprietor | No |
| NPI enumerated | September 23, 2008 |
| Last updated in NPPES | April 11, 2012 |
| Mailing address | 850 43rd Ave, Suite 100, Moline, IL 61265-8401 |
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