Individual
REBECCA S BOLDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6735 W BRADLEY RD, MILWAUKEE, WI 53223-3325
(414) 354-3300
Mailing address
6735 W BRADLEY RD, MILWAUKEE, WI 53223-3325
(414) 354-3300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
628-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42698000
—
WI
Enumeration date
04/29/2008
Last updated
04/29/2008
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