Individual
KATIE BOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 PHILADELPHIA AVE, SHILLINGTON, PA 19607-2764
(610) 796-7022
Mailing address
500 EAST PHILADELPHIA AVE, SHILLINGTON, PA 19607
(610) 796-7022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010178
PA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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