Individual
NICHOLAS BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
362 CATALPA AVE, HARROGATE, TN 37752-8149
(423) 869-9923
Mailing address
213 HENLEY ST, TAZEWELL, TN 37879-3969
(606) 231-2230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12640
TN
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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