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

Individual provider Occupational Therapist · NPI 1669641353

Tina Lynn Boncher, OTR is an Occupational Therapist in Private Practice in Canton, Michigan. Qualified in 2005, 21 years ago. Practices with Michigan Rehabilitation Specialists of Fowlerville LLC, a 125-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2008
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

42955 Ford Rd
Canton, MI 48187-3377
Phone: (734) 981-2100
Fax: (734) 981-2622
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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 5201007246 (MI)

Record details

NPI number1669641353
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedFebruary 27, 2008
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Michigan Rehabilitation Specialists Of Fowlerville Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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