Individual
AMY BETH BOLAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
242 W PARKWAY, SUITE 1, POMPTON PLAINS, NJ 07444-1029
(973) 831-0717
Mailing address
5 FRANCES ROAD, LINCOLN PARK, NJ 07035
(973) 694-1270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00914100
NJ
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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