Individual
MS. KATHLEEN L. BOLTIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
631 DRIFTWOOD DR, LAKE MILTON, OH 44429-9507
(330) 207-4925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.7197
OH
Other
Enumeration date
06/24/2008
Last updated
12/23/2014
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