Individual
TIMOTHY BOLEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2400 CONTINENTAL DR, BUTTE, MT 59701-6563
(406) 723-6556
Mailing address
2400 CONTINENTAL DR, BUTTE, MT 59701-6563
(406) 723-6556
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9
MT
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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