Individual
GARY BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.K.T.
Contact information
Practice address
25 M ST SW, THIRD FLOOR (3RD.) S.W., WASHINGTON, DC 20024-3621
(817) 361-0602
Mailing address
2101 5TH ST S, ARLINGTON, VA 22204-1932
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1469
IL
Other
Enumeration date
05/05/2006
Last updated
10/19/2007
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