Angie M Bolom in Victoria - Occupational Therapist
Angie M Bolom - NPI 1831134774
Angie M Bolom is a Occupational Therapist in Victoria, Texas. Angie M Bolom practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Angie M Bolom is 1831134774. The last update date is 2009-07-14.
Angie M Bolom's current location address is 4206 Retama Cir, Victoria, Texas. You can contact this provider via phone number 3615820611 and fax number 3615820555. The mailing address for Angie M Bolom is 4206 Retama Cir, Victoria, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angie M Bolom |
|---|---|
| Address | 4206 Retama Cir, Victoria, Texas |
| Phone Number | 3615820611 |
| Fax Number | 3615820555 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1831134774 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2009-07-14 |
Provider Mailing Address Detail
| Address | 4206 Retama Cir |
|---|---|
| City | Victoria |
| State | Texas (TX) |
| Post Code | 779012765 |
| Phone Number | 3615820611 |
| Fax Number | 3615820555 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 111526 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 164704201 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Angie M Bolom?
The Angie M Bolom has been issued the NPI (National Provider Identifier) 1831134774 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Angie M Bolom is physically located?
The Angie M Bolom is situated at the following address: 4206 Retama Cir, Victoria, TX 779012765.
What is Angie M Bolom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Angie M Bolom is Occupational Therapist, and the corresponding taxonomy classification code for this specialized field is 225X00000X.
On what date was the 1831134774 assigned to Angie M Bolom?
The Angie M Bolom was issued its 1831134774 on 2006-06-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Angie M Bolom most recently updated or revised?
The details related to Angie M Bolom, including its address, specialty, and other relevant information, were last updated or revised on 2009-07-14.