Charlene Kay Bouma, PTA

NPI #1699044693 in Conrad, Montana

Provider Information

NPI Number: 1699044693
Entity Type: Individual
Name: Charlene Kay Bouma, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: PTA
Enumeration Date: Dec 20, 2011
Last Updated: Dec 20, 2011

Practice Location

Address: 805 SUNSET BLVD
City: Conrad
State: Montana
ZIP Code: 59425-1717
Phone: (406) 271-2295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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