| Michael James Bolen Ii, OTR/L | |
|
3001 W Blue Starr Dr, Claremore, OK 74017-2544 | |
| (918) 342-1651 | |
| (918) 342-1651 |
| Full Name | Michael James Bolen Ii |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 3001 W Blue Starr Dr, Claremore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487821955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 896 (Oklahoma) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1598332173 PECOS PAC ID: 2163339722 Enrollment ID: O20211026000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael James Bolen Ii, OTR/L 3001 W Blue Starr Dr, Claremore, OK 74017-2544 Ph: (918) 342-1651 | Michael James Bolen Ii, OTR/L 3001 W Blue Starr Dr, Claremore, OK 74017-2544 Ph: (918) 342-1651 |
Mrs. Stephanie L Kuykendall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 S Florence Ave, Suite 150, Claremore, OK 74017 Phone: 918-645-3060 Fax: 918-341-3888 | |
Mrs. Leslie Kay Whalen, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1071 W Blue Starr Dr, Claremore, OK 74017 Phone: 918-341-4343 Fax: 918-341-8687 | |
Amber D Sabharwall, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1071 W. Blue Starr Drive, Suite 105, Claremore, OK 74017 Phone: 918-342-3800 Fax: 918-342-3900 | |
Samantha Kreutzer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 W Blue Starr Dr, Claremore, OK 74017 Phone: 918-342-5432 | |
Katherine Ann Wilburn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 W Will Rogers Blvd, Claremore, OK 74017 Phone: 918-341-4343 Fax: 918-341-8687 | |
Rolanda Vanvolkinburg, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 W Blue Starr Dr, Claremore, OK 74017 Phone: 918-342-1651 | |
Mrs. Debra Susan Mccollum, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 W Will Rogers Blvd, Claremore, OK 74017 Phone: 918-342-3800 Fax: 918-342-3900 |