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GRANT BOLTJES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3513 S HARMONY DR, SIOUX FALLS, SD 57110-6032
(605) 371-0432
Mailing address
3513 S HARMONY DR, SIOUX FALLS, SD 57110-6032
(605) 371-0432

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1072
SD

Other

Enumeration date
05/11/2016
Last updated
05/11/2016
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