Individual
BRITTANY BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 WALL ST, GENEVA, IL 60134-2343
(815) 276-7044
Mailing address
216 WALL ST, GENEVA, IL 60134-2343
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
056010443
IL
Other
Enumeration date
10/01/2012
Last updated
03/20/2017
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