Individual
LAUREN MARIE BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
N84W17049 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2701
(262) 255-1180
(262) 255-1638
Mailing address
W208N16531 TWEED CT, JACKSON, WI 53037-9330
(414) 687-3576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4762-026
WI
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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