Individual
MICHAEL JAMES BOLEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-1651
(918) 342-1651
Mailing address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-1651
(918) 342-1651
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
896
OK
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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