Individual
MS. PATRICIA JO BOELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00075
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665265
—
IA
01
—
42137277103
JOHN DEERE-UNITED HC
IA
01
—
70001
WELLMARK BCBS OF IOWA
IA
01
—
F238375
MIDLANDS CHOICE
—
Enumeration date
06/10/2007
Last updated
02/09/2011
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