Individual
SARAH N BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 528-5516
Mailing address
201 GRAY ST, CELINA, TN 38551-4178
(931) 397-9825
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3134
TN
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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