Individual
SUSAN BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
(601) 250-6859
Mailing address
2401 LINDEN AVE, TEXARKANA, AR 71854-3859
(601) 250-4815
(601) 250-6859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2017158
TX
225200000X
Physical Therapy Assistant
999
AR
Other
Enumeration date
05/22/2007
Last updated
09/11/2025
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