Individual
JOHN BOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
1460 CONWAY WALLROSE RD, FREEDOM, PA 15042-2410
(724) 242-0795
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0P006478
PA
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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