Individual
MRS. GENEVA MICHELLE BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
439 CHANNEL RD STE 102, LAKE WYLIE, SC 29710-6101
(803) 746-7800
Mailing address
PO BOX 412313 SUITE 102, BOSTON, MA 02241-0001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4484
SC
Other
Enumeration date
03/31/2009
Last updated
07/22/2025
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