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Individual

ALEXANDER BOLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
60 COLUMBIA ST STE 301, ORLANDO, FL 32806-1115
(407) 515-2420
(321) 843-8881
Mailing address
60 COLUMBIA ST STE 301, ORLANDO, FL 32806-1115
(407) 515-2420
(321) 843-8881

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
42158
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT42158
FL

Other

Enumeration date
08/27/2024
Last updated
09/16/2024
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