Individual
MR. GREGORY EUGENE BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
101 CHEROKEE PL # 107, LOUDON, TN 37774-4162
(865) 408-9344
Mailing address
720 CHRIS HILL DR, SEYMOUR, TN 37865-3244
(865) 742-2003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3842
TN
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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