Provider Demographics
NPI:1285679472
Name:BAULCH, MICHELLE KAY (OTR/L, CHT, CFCE)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:KAY
Last Name:BAULCH
Suffix:
Gender:F
Credentials:OTR/L, CHT, CFCE
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:KAY
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 NEUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-3449
Mailing Address - Country:US
Mailing Address - Phone:252-633-8020
Mailing Address - Fax:252-633-8954
Practice Address - Street 1:2000 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-3449
Practice Address - Country:US
Practice Address - Phone:252-633-8020
Practice Address - Fax:252-633-8954
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201003736225X00000X
NC8137225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist