Individual
BEVERLY BOLADAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
17026 CADBURY CIR, LEWES, DE 19958-7022
(302) 644-6390
(302) 644-7062
Mailing address
5 CHICORY DR, GEORGETOWN, DE 19947-1809
(302) 253-8074
(302) 644-7062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0001071
DE
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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