Individual
DR. JACK WESLEY BOLING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3200 TOWER OAKS BLVD, SUITE 450, ROCKVILLE, MD 20852-4216
(301) 881-4610
Mailing address
198 HALPINE RD, APT #1337, ROCKVILLE, MD 20852-1661
(904) 334-8158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23441
MD
225100000X
Physical Therapist
25803
FL
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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