Jane Bolden
Individual provider Active NPI Occupational Therapist · Huntsburg, OH
NPI 1275758161 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275758161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT000274 (OH)
- Practice address
- 12496 Princeton Rd
Huntsburg, OH 44046-9792 - Phone
- (440) 635-1006
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT000274 | OH | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT000274 | OH | Yes |
Addresses
Primary practice location
12496 Princeton Rd
Huntsburg, OH 44046-9792
Mailing address
10821 Holi Dale Dr
Chardon, OH 44024-8987
Phone (440) 286-3395
Other providers in Huntsburg, OH
- Lauren J. Baskin
- Jessica Marie Baxter
- Robert Joseph Baxter
- Blossom Hill Care Center Inc
- Ann Brown
- Ashley Brzozowski
- Conquer and Demann Inc
- Kelly Ann Cregar
- Valerie Jean Degreen
All providers in Huntsburg, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.