Individual
JENNA BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 PEACHTREE HILLS AVE NE, ATLANTA, GA 30305-4411
(404) 467-4900
Mailing address
2633 ACORN AVE NE, ATLANTA, GA 30305-3703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006259
GA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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