Individual
NICOLE BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
5515 W 38TH ST, INDIANAPOLIS, IN 46254-2995
(317) 880-0280
Mailing address
5515 W 38TH ST, INDIANAPOLIS, IN 46254-2995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
12/03/2024
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