Individual
AMY C BOLSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
62 WARREN STREET, ROXBURY, MA 02119
(617) 442-0111
(617) 442-0110
Mailing address
70 WARREN STREET, SUITE 8, ROXBURY, MA 02119
(617) 442-3462
(617) 445-7874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20168
VT
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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