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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DWIGHT EUGENE BOLEJACK, OCCUPATIONAL THERAPI

Active Sole Proprietor

MR. DWIGHT EUGENE BOLEJACK, OCCUPATIONAL THERAPI is a Gerontology Occupational Therapist healthcare provider located in VINCENNES, Indiana. NPI 1144571779 is currently active in the NPPES registry. Verify at CMS.

Gerontology Occupational Therapist · VINCENNES, IN

Registration Details

NPI Number
1144571779
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2012 (13.927675533499 yrs)
Last Updated
Sep 22, 2012
License
31002064A (IN)
Sole Proprietor
Yes

Practice Information

Address
3801 OLD BRUCEVILLE RD
VINCENNES, IN, 475913889
Browse IN providers · Browse ZIP 47591
Phone
8128864677
Fax
8128864678
Primary Specialty
Gerontology Occupational Therapist
225XG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.