MEDICARE: BETTINA BOURDA OTR/L, CLT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	112621	TX
2	225X00000X	Occupational Therapist	14270	FL
3	225X00000X	Occupational Therapist	056011398	IL

General Provider Information

NPI Number	:	1801117270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETTINA BOURDA OTR/L, CLT

Provider Business Mailing Address
First Line	:	328 WISCONSIN AVE APT 2D
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-3413
Country	:	US
Telephone Number	:
Fax Number	:	407-219-4367

Provider Business Practice Location Address
First Line	:	424 E CENTRAL BLVD
Second Line	:	STE 378
City	:	ORLANDO
State	:	FL
Zip	:	32801-1923
Country	:	US
Telephone Number	:	407-219-4367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2010
Last Update Date	:	06/09/2017

Similar Medicare Providers

1174770077 — PUBLIX SUPER MARKETS INC
Practice Location Address:

400 E CENTRAL BLVD
ORLANDO, FL
32801-1923

Practice Phone: 407-872-7207
Practice Fax: 407-872-7213

1194908665 — DR. MARGARET ANN MOXNESS M.D.
Practice Location Address:

424 E CENTRAL BLVD , #201
ORLANDO, FL
32801-1923

Practice Phone: 513-312-0635
Practice Fax:

1730458910 — DR. MONIQUE SHAREE JONES PHARM D
Practice Location Address:

400 E CENTRAL BLVD
ORLANDO, FL
32801-1923

Practice Phone: 407-872-7207
Practice Fax:

1194073544 — LIVE LIFE WELL, LLC
Practice Location Address:

424 E CENTRAL BLVD , 378
ORLANDO, FL
32801-1923

Practice Phone: 713-385-0782
Practice Fax:

1588901227 — DR. UGOMMA AMY NWAHIRI PHARMD
Practice Location Address:

400 E CENTRAL BLVD
ORLANDO, FL
32801-1923

Practice Phone: 407-872-7207
Practice Fax: 407-872-7213

1386982973 — ROBERT YOUNG
Practice Location Address:

400 E CENTRAL BLVD
ORLANDO, FL
32801-1923

Practice Phone: 407-872-7207
Practice Fax: 407-872-7213

Directions to “ BETTINA BOURDA OTR/L, CLT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.