Individual
MONICA R BUBOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 N JEFFERSON ST, NEW ULM, MN 56073-1933
(507) 217-6016
Mailing address
614 N JEFFERSON ST, NEW ULM, MN 56073-1933
(507) 217-6016
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
—
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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