Individual
MISS HANNAH JOY BOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
390 SE CHURCH ST, SUBLIMITY, OR 97385-9714
(800) 400-2269
Mailing address
850 VENTURA ST N, KEIZER, OR 97303-6399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/09/2017
Last updated
07/09/2017
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