Individual
MS. PATRICIA KAY BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1918 COMMERCIAL ST, HUMBOLDT, IL 61931-7805
(217) 856-2292
Mailing address
1918 COMMERCIAL ST, HUMBOLDT, IL 61931-7805
(217) 856-2292
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001183
IL
Other
Enumeration date
08/13/2008
Last updated
12/03/2008
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