Individual
LINDA JEAN BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10230 W GRANT ST, WEST ALLIS, WI 53227-1310
(414) 604-4000
Mailing address
13700 WATERTOWN PLANK RD, ELM GROVE, WI 53122-2468
(262) 784-0468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1542-026
WI
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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