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Individual

EVAN BOLDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3305 CENTRAL PARK VILLAGE DR, EAGAN, MN 55121-7707
(651) 406-8868
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8985
MN

Other

Enumeration date
05/21/2012
Last updated
01/11/2019
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