Boldt, Lisa Ann
Boldt, Lisa Ann is an individual health care provider with primary practice located at 1454 30Th St Ste 103 , West Des Moines IA 50266-1312. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Boldt, Lisa Ann can be contacted via phone (515) 223-6620.Contact Information
Primary practice address
1454 30Th St Ste 103
West Des Moines IA 50266-1312
Phone: (515) 223-6620
Fax: (515) 223-9625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 00081 | Iowa |
Profile Details
| NPI number | 1427252592 |
|---|---|
| LBN Legal business name | Boldt, Lisa Ann |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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