Provider Demographics
NPI:1053541383
Name:BOVEE, KIRSTEN (OTR/L)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:BOVEE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KIRSTEN
Other - Middle Name:
Other - Last Name:SCHUSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:12331 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-8420
Mailing Address - Country:US
Mailing Address - Phone:219-781-0569
Mailing Address - Fax:
Practice Address - Street 1:12331 WHITE OAK DR
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-8420
Practice Address - Country:US
Practice Address - Phone:219-781-0569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004873A225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics