Individual
MRS. AMY LYNN BOLELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
310 WALNUT ST, PERU, IL 61354-1946
(815) 780-3509
(814) 224-6744
Mailing address
310 WALNUT ST, PERU, IL 61354-1946
(815) 780-3509
(814) 224-6744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.003539
IL
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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