Individual
MR. DWIGHT EUGENE BOLEJACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
(812) 886-4678
Mailing address
10222 N COUNTY ROAD 1075 E, BROWNSBURG, IN 46112-9659
(317) 443-6099
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
31002064A
IN
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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