Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justine Noel Bolten, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1194290023

Justine Noel Bolten, OTD, OTR/L is an Occupational Therapist in Fort Drum, New York. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Partly verified

Some contact details are missing from the federal record.

USA Meddac 11050 Munt Belvedere Blvd
Fort Drum, NY 13630
Phone: (315) 772-6730
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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 19534 (FL)

Record details

NPI number1194290023
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESDecember 14, 2021
Certification dateDecember 9, 2021

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