Individual
DANIEL SCOTT BOLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
13343 SW 103RD PL, MIAMI, FL 33176-6079
(305) 951-7763
Mailing address
13343 SW 103RD PL, MIAMI, FL 33176-6079
(305) 951-7763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16878
FL
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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