NPI 1104463264
Alyssa Jacqueline Bovy, COTA
Practice location
- Address
- 9 14th Ave W, Polson, MT 59860-5321
- Phone
- (406) 883-4377
- Mailing address
- 4851 154th Ln NW, Anoka, MN 55303-6417
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1104463264
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Dec 2019
- Record last updated
- 6 Dec 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.