Individual
HEATHER NICOLE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1666 HILLVIEW DR, ELIZABETHTON, TN 37643-4116
(423) 542-5061
Mailing address
1666 HILLVIEW DR, ELIZABETHTON, TN 37643-4116
(423) 542-5061
(855) 718-5670
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2246
TN
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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