Individual
CARRIE BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT/L
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 200-3965
Mailing address
10348 QUIET WAY, INDIANAPOLIS, IN 46239-9439
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004679A
IN
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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