Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward Andrew Boniecki, OT/L

Individual provider Occupational Therapist · NPI 1639221559

Edward Andrew Boniecki, OT/L is an Occupational Therapist in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2007.

Licensed in
MT
In the registry since
2007

Practice location Address checks out

901 SW Higgins Ave
Missoula, MT 59803-3600
Phone: (406) 214-2606
Fax: (406) 213-0073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 803 (MT)

Record details

NPI number1639221559
Entity typeIndividual (Type 1)
GenderMale
Credentials OT/L
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

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