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Individual

MS. ARDENE M BOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
638 BRANDYWINE PKWY, WEST CHESTER, PA 19380-4278
(610) 436-3600
Mailing address
638 BRANDYWINE PKWY, WEST CHESTER, PA 19380-4278
(610) 436-3600

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016064
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019483580003
PA
Enumeration date
04/02/2007
Last updated
02/04/2010
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