Derek Richard Bolme, OTR/L
Individual provider Active NPI Occupational Therapist · Cedar Falls, IA
NPI 1376573303 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376573303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 01467 (IA)
- Practice address
- 211 W 6TH St
Cedar Falls, IA 50613-2859 - Phone
- (319) 277-3166
- Fax
- (319) 266-4846
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|
| 01467 | IA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01467 | IA | Yes |
Addresses
Primary practice location
211 W 6TH St
Cedar Falls, IA 50613-2859
Mailing address
211 W 6TH St
Cedar Falls, IA 50613-2859
Phone (319) 277-3166
Other providers in Cedar Falls, IA
- Lauren Paige Block
- Tristan Boaldin
- Lucas S Boe
- Robert W Boezinger
- Michael Boller
- Tucker Pierre Borel
- David P Bottke
- Bowed Oak SCL LLC
- Diane Marie Bowman
- Sara Boyce
All providers in Cedar Falls, IA · Occupational Therapist in Iowa
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.