Timothy Bolewicz, OTR

Individual provider Active NPI Occupational Therapist · Butte, MT

NPI 1093059313 · NPPES record last updated Nov 27, 2012

Key facts

NPI
1093059313
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
9 (MT)
Practice address
2400 Continental Dr
Butte, MT 59701-6563
Phone
(406) 723-6556
NPI assigned
Nov 27, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9MTMDNaturopath

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9 MT Yes

Addresses

Primary practice location

2400 Continental Dr
Butte, MT 59701-6563

Mailing address

2400 Continental Dr
Butte, MT 59701-6563
Phone (406) 723-6556

Other providers in Butte, MT

All providers in Butte, MT · Occupational Therapist in Montana

Sources for this page

Verify at the official NPI Registry.