Individual
JANE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12496 PRINCETON RD, HUNTSBURG, OH 44046-9792
(440) 635-1006
Mailing address
10821 HOLI DALE DR, CHARDON, OH 44024-8987
(440) 286-3395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000274
OH
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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