Individual
TERESA BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6825 W RUSSELL RD, SUITE NUMBER 170, LAS VEGAS, NV 89118-1888
(702) 896-8400
(702) 791-5600
Mailing address
6825 W RUSSELL RD, SUITE NUMBER 170, LAS VEGAS, NV 89118-1888
(702) 896-8400
(702) 791-5600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0575
NV
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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