Individual
EMILY BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
415 CATLETT RD, SEVIERVILLE, TN 37862-5901
(865) 453-4747
Mailing address
933 BUCK WAY, SEVIERVILLE, TN 37876-2802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2646
TN
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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