Individual
WILLIAM ANTHONY BOLESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOC
Contact information
Practice address
11 BONDI WAY, REISTERSTOWN, MD 21136-5102
(443) 250-9021
Mailing address
11 BONDI WAY, REISTERSTOWN, MD 21136-5102
(443) 250-9021
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
MD
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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