Individual
SARA BOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4708 STONE MANOR HTS, COLORADO SPRINGS, CO 80906-8618
(719) 578-1325
(719) 578-1443
Mailing address
4708 STONE MANOR HTS, COLORADO SPRINGS, CO 80906-8618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
897
CO
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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