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MS. SUSAN LYNNE POPEK-BOEVE CTRS NPI 1114258688


NPI Information

NPI: 1114258688
Provider Name: MS. SUSAN LYNNE POPEK-BOEVE, CTRS
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
143 CANNELLE CT
CANTON, MI
ZIP 48187
Phone: (734) 262-4786
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MS. Susan Lynne Popek-boeve, CTRS is a recreation therapist in Canton, MI. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MS. Susan Lynne Popek-boeve, CTRS NPI is 1114258688. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

143 CANNELLE CT
CANTON, MI
ZIP 48187-587
Phone: (734) 262-4786

The enumeration date for this NPI number is 1/24/2010 and was last updated on 1/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225800000XRecreation Therapist23270MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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