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Individual
ELENA TUASON BOLIN
Active
Individual
ELENA TUASON BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005287A
IN
225XH1200X
Hand Occupational Therapist
31003238A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300094044
—
IN
01
—
31003238A
STATE LICENSE
IN
Enumeration date
07/24/2024
Last updated
08/07/2024
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