Individual
REGHAN MAUREEN BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L, CLT
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 273-2237
Mailing address
1107 8TH AVE SW, ISANTI, MN 55040-6926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106841
MN
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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