Individual
MS. JANE E BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4245 N WOODBURN ST, SHOREWOOD, WI 53211-1504
(414) 967-1760
Mailing address
4245 N WOODBURN ST, SHOREWOOD, WI 53211-1504
(414) 967-1760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3988-26
WI
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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