Individual
BRIAN BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 GOODMANS XING, CLARK, NJ 07066-2738
(732) 259-9468
Mailing address
615 GOODMANS XING, CLARK, NJ 07066-2738
(732) 259-9468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01904600
NJ
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/25/2019
Last updated
09/21/2023
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