NPI 1427252592
Lisa Ann Boldt, COTA
Practice location
- Address
- 1454 30th St STE 103, West Des Moines, IA 50266-1312
- Phone
- (515) 223-6620
- Fax
- (515) 223-9625
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1427252592
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jun 2007
- Record last updated
- 8 Jul 2007
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.