Individual
TERESE BOEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-6444
Mailing address
130 FLY WAY, KALISPELL, MT 59901-1404
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OTP-OT-LIC-3253
MT
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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