Individual
ZACK BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
3400 LARAMIE DR, BOZEMAN, MT 59718-2005
(844) 971-5783
Mailing address
8750 US HIGHWAY 10, BUTTE, MT 59701-7431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-6502
MT
Other
Enumeration date
05/24/2019
Last updated
06/12/2019
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