Individual ProviderAnnette VanboldrikOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address725 Welch Rd, Palo Alto, CA 94304-1601(650) 497-8218PECOS EnrollmentBased on the most recent information from CMS, provider Annette Vanboldrik does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1205004678Provider TypeIndividualFull NameVanboldrik, AnnetteCredentialOTRGenderFemaleSole ProprietorNoEnumeration Date2/19/2008Last Updated12/24/2008Contact InformationPractice LocationPractice Address725 Welch Rd, Palo Alto, CA 94304-1601Phone(650) 497-8218FaxUnlisted FaxMailing LocationMailing Address725 Welch Rd, Palo Alto, CA 94304-1601Phone(650) 497-8218FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT 5073California