Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Bouboulis, OTR/L

Individual provider Occupational Therapist · NPI 1962824284

Michelle Bouboulis, OTR/L is an Occupational Therapist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2014.

Licensed in
VA
In the registry since
2014
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3750 Joseph Siewick Dr
Fairfax, VA 22033-1742
Phone: (571) 306-7999
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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 0119005611 (VA)

Record details

NPI number1962824284
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 7, 2014
Last updated in NPPESJanuary 7, 2014

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