Individual
MR. DUSTIN JAMES BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
7801 N LAMAR BLVD, SUITE C-65, AUSTIN, TX 78752-1016
(512) 476-0500
(512) 462-0110
Mailing address
7801 N LAMAR BLVD, SUITE C-65, AUSTIN, TX 78752-1016
(512) 476-0500
(512) 462-0110
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
ATP 44298
—
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
ATP 44298
—
247200000X
Other Technician
Primary
44298
—
Other
Enumeration date
09/22/2011
Last updated
09/05/2013
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