Individual
MRS. JUDY BOLEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1450 ELLIS ST STE 201, BOZEMAN, MT 59715-8813
(406) 587-0122
(406) 587-5548
Mailing address
1450 ELLIS ST STE 201, BOZEMAN, MT 59715-8813
(406) 587-0122
(406) 587-5548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084497
MCARE GROUP
MT
05
—
3402006
—
MT
Enumeration date
01/08/2006
Last updated
11/21/2016
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