Individual
MRS. HEATHER BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, CERT MDT
Contact information
Practice address
601 CROSS ST, BURLINGTON, KS 66839-1105
(620) 364-2117
Mailing address
1077 22ND RD NW, LEBO, KS 66856-9324
(620) 203-8652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03888
KS
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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