Individual
LEANNE PARTRIDGE BOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2775 CEZANNE LN, CUMMING, GA 30041-7174
(404) 395-0937
Mailing address
2775 CEZANNE LN, CUMMING, GA 30041-7174
(404) 395-0937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2909
GA
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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