Individual
MS. ALYSSA JACQUELINE BOVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9 14TH AVE W, POLSON, MT 59860-5321
(406) 883-4377
Mailing address
4851 154TH LN NW, ANOKA, MN 55303-6417
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224Z00000X
—
MT
Enumeration date
12/06/2019
Last updated
12/06/2019
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