Individual
MATTHEW BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
140 WASHINGTON AVE, HAMDEN, CT 06518-3012
(203) 823-0309
Mailing address
21 CHAUCER CT, MILFORD, CT 06460-7106
(203) 823-0309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4776
CT
Other
Enumeration date
04/13/2017
Last updated
08/09/2022
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