Individual
MS. JANNA RENEE BERGQUIST BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
16600 W 126TH ST, OLATHE, KS 66062-1184
(913) 829-5201
Mailing address
13425 WINCHESTER AVE, GRANDVIEW, MO 64030-3263
(816) 761-4100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02252
KS
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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