Individual provider · Type 1 NPI

Kyle Anthony Preston Bolam

Day Training/Habilitation Specialist · Wasilla, AK

NPI number 1306463302 Active

Practice location

1401 S Seward Meridian Pkwy # Abc
Wasilla, AK 99654-8312

Call (907) 631-3520 Map

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1306463302

Kyle Anthony Preston Bolam's National Provider Identifier is 1306463302, issued on Jun 25, 2020. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Wasilla, AK. The record was last updated on Jun 25, 2020.