Individual
KIMBERLY J BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E ELEP AVE, COLVILLE, WA 99114-5014
(509) 684-2573
(509) 685-2207
Mailing address
1000 E ELEP AVE, COLVILLE, WA 99114-5014
(509) 684-2573
(509) 685-2207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001194
WA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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