Individual
ANGIE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3973 NW BAILEY GRADE RD, GREENVILLE, FL 32331-4502
(850) 948-4787
Mailing address
3973 NW BAILEY GRADE RD, GREENVILLE, FL 32331-4502
(850) 948-4787
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 17072
FL
Other
Enumeration date
05/18/2015
Last updated
02/26/2020
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