Individual
NORMA BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6945 74TH STREET CIR E, BRADENTON, FL 34203-7185
(941) 822-3703
Mailing address
6945 74TH STREET CIR E, BRADENTON, FL 34203-7185
(941) 822-3703
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24488
FL
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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