Individual
MR. CHRISTOPHER MICHAEL BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
4970 HIGHWAY 90, MARIANNA, FL 32446-6802
(850) 718-5620
Mailing address
4970 HIGHWAY 90, MARIANNA, FL 32446-6802
(850) 718-5620
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
24998
FL
225100000X
Physical Therapist
Primary
PT24998
FL
Other
Enumeration date
02/25/2010
Last updated
01/11/2023
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