IndividualActive
Alane Boutelle, COTA
NPI 1821389115 · Occupational Therapy Assistant · Verona, WI
Provider details
- NPI number
- 1821389115
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4767-027 (WI)
Practice location
1100 E Verona Ave
Verona, WI 53593-8717
Phone: (608) 845-6601
Fax: (608) 845-1264
Mailing address
2448 S 102nd St
Milwaukee, WI 53227-2466
Registry dates
- Enumerated
- 2011-04-21
- Last updated
- 2011-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.