Individual
JUSTIN BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1680 GOLDSTONE ST, EL CAJON, CA 92019-3443
(619) 277-1453
Mailing address
1680 GOLDSTONE ST, EL CAJON, CA 92019-3443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4128
CA
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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